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INDONESIA
Jurnal Kesehatan Masyarakat
Published by Universitas Negeri Semarang
ISSN : 18581196     EISSN : 23553596     DOI : -
Core Subject : Health,
Public Health
KEMAS Journal: Research Study in Public Health publishes the article based on research or equivalent to research results in public health or other disciplines related to public health that has not been loaded/published by other media. The journal contains articles about epidemiology and biostatistics, health policy and administration, public health nutrition, environmental health, occupational health and safety, health promotion, reproductive health, maternal and child health, and other related articles in public health. The journal can be used by health practitioners, health caregivers, teachers, medical students, and people who are interested in public health issues. The journal was first published in July 2005 and subsequently published twice a year, in July and January. KEMAS Journal is a peer review journal and can be accessed in http://journal.unnes.ac.id/nju/index.php/kemas. Semarang State University (Unnes) is a leading university in Indonesia with the vision to become a world-class conservation university. The conservation vision is closely related to the study of public health sciences. Unnes also published high quality e-journal from various disciplines, integrated, and managed through Open Access Journals that can be accessed in http://journal.unnes.ac.id. The IAKMI (Ikatan Ahli Kesehatan Masyarakat Indonesia/The Association of Indonesian Public Health Expert) is a non-profit membership association dedicated to advance public health as a scientific discipline and profession that serves public good for Indonesia and humanity.
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ANALISIS KUALITAS PENGGUNAAN BUKU KESEHATAN IBU ANAK Sistiarani, Colti
KEMAS: Jurnal Kesehatan Masyarakat Vol 10, No 1 (2014)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v10i1.3065

Abstract

Penggunaan Buku KIA merupakan salah satu strategi pemberdayaan masyarakat. Program ini ditujukan sebagai upaya peningkatan pelayanan kesehatan ibu dan anak. Penelitian ini bertujuan untuk menganalisis pengetahuan dan peran tenaga kesehatan dengan kualitas penggunaan buku KIA. Penelitian ini dilakukan di wilayah kerja Puskesmas Kalibagor tahun 2010. Jenis penelitian yaitu penelitian penjelasan menggunakan pendekatan cross sectional. Populasi adalah seluruh ibu hamil dan ibu balita yang berkunjung ke Puskesmas Kalibagor, Sampel adalah ibu hamil dan ibu balita yang berkunjung ke Puskesmas Kalibagor Bulan Oktober 2010 sebanyak 50. Teknik pengambilan sampel yaitu consequtive sampling. Analisis data untuk univariat dengan melakukan uji distribusi frekuensi, bivariat dengan uji chi kuadrat (x2). Hasil penelitian menunjukkan ada hubungan antara pengetahuan mengenai buku KIA dengan kualitas penggunaan buku KIA, serta tidak ada hubungan antara peran tenaga kesehatan dengan kualitas penggunaan buku KIA.The use of MCH handbook is one of community empowerment strategies. The program is intended as an effort to improve maternal and child health services. This study aims to analyze the knowledge and the role of health workers with the use of quality KIA book. This research was conducted in 2010 at Kalibagor Primary Health Care. This type of research is explanatory research using cross sectional approach. The population is all pregnant women and mothers who visited the primary health care, Samples are pregnant women and moth-ers who visited the Kalibagor Primary Health care in October 2010 as many as 50. Sam-pling technique that consequtive sampling. Univariate analysis of the data for the frequency distribution test , bivariate chi squared test ( x2 ) . The results showed no relationship be-tween knowledge of books with quality KIA KIA use of books,and there is no relationship between the role of health workers with the use of quality KIA book.
PENYULUHAN TERHADAP SIKAP IBU DALAM MEMBERIKAN TOILET TRAINING PADA ANAK Musfiroh, Mujahidatul; Wisudaningtyas, Beny Lukmanawati
KEMAS: Jurnal Kesehatan Masyarakat Vol 9, No 2 (2014)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v9i2.2844

Abstract

Di dukuh Mojosari, anak yang telah memasuki usia balita ada yang masih mempunyai kebiasaan mengompol. Hal ini menunjukkan terjadi kegagalan dalam toilet training selama masa balita. Masalah penelitian, bagaimanakah pengaruh penyuluhan terhadap sikap ibu dalam melatih toilet training pada anak usia balita. Tujuan penelitian untuk mengetahui pengaruh pemberian penyuluhan terhadap sikap ibu dalam melatih toilet training pada anak usia balita. Metode penelitian quasi eksperimental dengan rancangan  posttest group only design. Populasi penelitian adalah ibu yang mempunyai anak usia balita di RW 6 Dukuh Mojosari Desa Polokarto yang berjumlah 32 responden, menggunakan total sampling. Analisis data menggunakan uji Mann Whitney. Hasil penelitian menunjukkan kelompok perlakuan mempunyai sikap baik dalam memberikan toilet training  sejumlah 11 responden (68,8%) dan sikap cukup baik sejumlah 5 responden (31,2%). Kelompok kontrol mempunyai sikap baik dalam memberikan toilet training sejumlah 3 responden (18,8%) dan mempunyai sikap cukup baik sejumlah 13 responden (81,2%). Hasil analisis data menggunakan uji Mann Whitney diperoleh nilai p = 0,005 (< 0,05). Simpulan penelitian, ada pengaruh penyuluhan terhadap sikap ibu dalam memberikan toilet training pada anak usia balita. In theMojosari village, children who have entered the toddler age still have bedwetting habit. This suggests the failure toilet training during toddler. Research problem was how the influence of education on mother attitudes in toilet training to toddler. Research purpose to determine the effect of education on maternal attitudes in toilet training to toddler. Research method quasi experimental by by posttest only design. Population study were mothers who have toddler in RW 6 Mojosari Village, Polokarto totaling 32 respondents, using total sampling. Data analyzed by Mann Whitney test. Results showed the treatment group had a good attitude to give toilet training as 11 respondents (68.8%) and attitude well enough as 5 respondents (31.2%). The control group had a good attitude to give toilet training as 3 respondents (18.8%) and had a pretty good attitude as 13 respondents (81.2%). The results showed the data analysis obtained using the Mann Whitney test p value=0.005 (<0.05). The conclusion, there was effect of education on by mother attitudes in toilet training to toddler.
PENGARUH EDUKASI TERHADAP PENGETAHUAN DAN SKILL GURU SERTA PERSONAL HYGIENE SISWA SD Solehati, Tetti; Susilawati, Sri; Lukman, Mamat; Kosasih, Cecep Eli
KEMAS: Jurnal Kesehatan Masyarakat Vol 11, No 1 (2015)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v11i1.3678

Abstract

Banjir sering menimbulkan masalah kesehatan terutama pada anak. Hal ini diperparah dengan buruknya pola Perilaku Hidup Bersih dan Sehat (PHBS) pada masyarakat. Tujuan penelitian untuk mengetahui Pengetahuan Dan Skill Guru dan  personal hygiene siswa setelah diberikan edukasi. Penelitian dilkukan pada tahun 2014. Desain penelitian quasi eksperimen dengan rancangan pre test dan post test. Penelitian dilakukan di SDN VII dan X Dayeuhkolot Bandung. Sampelnya adalah 24 guru  dan 288 siswa kelas 3-6 SDN VII dan SDN X Dayeuhkolot. Instrumen menggunakan quesioner, lembar observasi, dan lembar cek list. Analisis data menggunakan analisis univariat dan bivariat. Hasil menunjukan rerata personal hygiene siswa 77,78 sebelum intervensi meningkat jadi 89,54 (pv= 0.001). Rerata tingkat pengetahuan guru sebelum intervensi 52, rerata skill CTPS 64,17. Setelah intervensi mengalami peningkatan rerata tingkat pengetahuan menjadi 97, rerata skill CTPS 97,92 (pv= 0.001). Simpulan penelitian, ada perbedaan bermakna rerata pengetahuan dan skill guru serta personal hygiene siswa sebelum dan setelah periode intervensi. Floods often cause health problems especially in children. This is aggravated by poor pattern Clean and Healthy Lifestyle/ PHBS in the community. The aim is to determine the effect of education on knowledge, skill of  the teachers and hygiene of the elementary school students. The study conducted at 2014. The study was a quasi-experimental of pre-test and post-test design. The study was conducted in elementary school VII and X Dayeuhkolot. The sample is 24 teachers and 288 students in grades 3 to 6. The instrument used quisionare, observation sheet, and a check list sheet. Univariate and bivariate analysis was used to analyze the data. The mean score of personal hygiene students increased from77.78 to 89.54 (pv = 0.001). The mean score of teacher knowledge increased from 52 to 97 (pv = 0.001). The mean score of skill in teacher increased from 64.17 to 97.92 (pv = 0.001). Conclusion: This study found a significant differences of mean the knowledge and skill on teachers and personal hygiene students before and after the intervention (p = 0.001).
PENGARUH PEMBUBUHAN TAWAS DALAM MENURUNKAN TSS PADA AIR LIMBAH RUMAH SAKIT Ningsih, Riyan
KEMAS: Jurnal Kesehatan Masyarakat Vol 6, No 2 (2011)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v6i2.1756

Abstract

Untuk mengendapkan padatan tersuspensi dalam air limbah diperlukan bahan kimia koagulan dengan dosis yang sesuai. Tujuan penelitian ini untuk menge-tahui dosis optimum yang dapat menurunkan kadar TSS air limbah dan untuk mengetahui perbedaan penurunan TSS sebelum dan sesudah pembubuhan tawas dengan dosis optimum. Desain penelitian menggunakan rancangan eksperimen semu. Variabel penelitian terdiri atas kadar TSS (variabel terikat), dosis optimum (variabel bebas), pH, suhu dan tingkat kekeruhan (variabel peng-ganggu), waktu pengadukan, kecepatan pengadukan, dan tempat pengambilan sampel (variabel kendali). Analisis data menggunakan uji t-test paired. Hasil percobaan pendahuluan diperoleh dosis optimum 70 mg/l. Hasil parameter TSS tanpa pembubuhan tawas antara 618 mg/l sampai 170 mg/l, setelah  pembubuhan tawas dengan dosis optimum TSS turun menjadi antara 60 mg/l sampai 40 mg/l. Hasil uji statistik diperoleh p =0,019 (ada perbedaan bermakna  kadar TSS sebelum dan sesudah  pembubuhan tawas dengan dosis optimum). AbstractTo precipitate suspended solids in wastewater, it is necessary to take a chemical coagulant with optimum dose. The purpose in this study was to determine the optimum dose required to reduce level of TSS in the wastewater, and to obtain whether there were significant differences on the reduction of TSS before and after affixing the optimum dose of alum. The design of this study was quasi-experimental design. The variables of this study include TSS levels (dependent variable), the optimum dose (independent variables), pH, temperature, and turbidity level (confounding variable), stirring time, and stirring speed. The sampling place is fixed as control variable. Data analyzed by using paired t-test. The results of preliminary experiments fix the optimum dose of 70 mg / l. TSS parameter without alum obtained between 618 mg / l to 170 mg / l, and after affixing the optimum dose of alum, TSS dropped to between 60 - 40 mg / l. The result of statistical test obtained is p = 0,019 (there were significant differences in TSS levels before and after the affixing of optimum alum dose).Keywords: Optimum Dose; Alum; TSS levels
INSEKTISIDA SIPERMETHRIN 100 G/L TERHADAP NYAMUK DENGAN METODE PENGASAPAN Susanti, Lulus; Boesri, Hasan
KEMAS: Jurnal Kesehatan Masyarakat Vol 7, No 2 (2012)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v7i2.2812

Abstract

Penggunaan insektisida dalam pengendalian vektor sudah lama dilakukan. Malathion sebagai salah satu insektisida yang banyak digunakan kini mulai dilaporkan terjadinya resistensi nyamuk terhadapnya. Maka diperlukan jenis insektisida lain yang dapat digunakan sebagai alternatif dalam mengendalikan vektor penyakit khususnya nyamuk yang dapat digunakan oleh Dinas Kesehatan maupun perusahaan. Permasalahan penelitian adalah bagaimana pengaruh insektisida cypermethrin terhadap nyamuk vektor DBD (Ae. aegypti), filariasis perkotaan (Cx. quinquefasciatus), dan malaria (An. Aconitus) dengan aplikasi pengasapan (thermal fogging). Tujuan penelitian untuk mengetahui pengaruh insektisida cypermethrin terhadap vektor nyamuk. Metode penelitian eksperimen. Dalam penelitian ini telah dilakukan uji insektisida bahan aktif yaitu sipermethrin 100 g/l, terhadap nyamuk vektor DBD (Ae. aegypti), filariasis perkotaan(Cx.quinquefasciatus), dan malaria (An. Aconitus) dengan aplikasi pengasapan (thermal fogging). Hasil penelitian menunjukkan insektisida berbahan aktif cypermethrin 100 g/l pada dosis 100, 150, dan 200 ml/ha dengan pelarut solar yang diaplikasikan secara pengasapan (thermal fogging) efektif digunakan untuk membunuh nyamuk vektor DBD Ae.aegypti, vektor filariasis Cx. Quinqefasciatus dan vektor malaria An. Aconitus di dalam dan di luar rumah dengan tingkat kematian 100%. Simpulan penelitian adalah insektisida cypermethrin efektif untuk membunuh vektor nyamuk.The use of insecticides in vector control is long overdue. Malathion insecticide which widely used now beginning to be reported occurrence of mosquito resistance to it. It would require other types of insecticides that can be used as an alternative in disease vectors control, especially mosquitoes which can be used by the Department of Health as well as the company. Research problem was how the effect of Cypermethrin insecticide against mosquito vectors of dengue (Ae. aegypti ), urban filariasis ( Cx. quinquefasciatus), and malaria (A. aconitus) with fumigation applications (thermal fogging). The purpose of the study to determine the effect of sipermethrin as mosquito insecticide. Experimental research methods. In this study was to test the insecticidal active ingredient sipermethrin 100 g/l, the mosquito vector of dengue (Ae. aegypti), urban filariasis (Cx. quinquefasciatus), and malaria (A. aconitus) with fumigation applications (thermal fogging). The results showed insecticidal active ingredient Cypermethrin 100g/l at dose of 100, 150, and 200ml/ha with solvent applied solar evaporation (thermal fogging), effectively used to kill vector of dengue (Ae. aegypti), urban filariasis (Cx. quinquefasciatus), and malaria (A. aconitus) inside and outside the house with 100 % mortality rate. Conclusion of the research, Cypermethrin was effective as mosquito vectors insecticide.
FASILITASI PELAPORAN KD-RS DAN W2 DBD UNTUK MENINGKATKAN PELAPORAN SURVEILANS DBD Siyam, Nur
KEMAS: Jurnal Kesehatan Masyarakat Vol 8, No 2 (2013)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v8i2.2634

Abstract

Masalah penelitian adalah bagaimana fasilitasi pelaporan KD-RS dan W2 DBD untuk meningkatkan ketepatan waktu dan kelengkapan pelaporan surveilans DBD. Tujuan penelitian ini untuk mengetahui fasilitasi pelaporan KD-RS dan W2 DBD untuk meningkatkan ketepatan waktu dan kelengkapan pelaporan surveilans DBD. Metode penelitian adalah pra-eksperimen dengan pendekatan rancangan One Group Pretest-Postest. Populasi penelitian ini adalah 8 RS di wilayah kerja Kota Pekalongan. Subyek penelitiannya petugas surveilans di 8 RS (8 orang), Kabid. P2P-PL (1 orang) dan Staf P2P (2 orang) di DKK Pekalongan, menggunakan total sampling. Instrumen penelitian kuesioner, check list observasi, dan check list dokumentasi. Analisis data dilakukan dengan uji Wilcoxon (α= 0,05). Hasil penelitian menunjukkan tidak ada perbedaan yang bermakna persentase ketepatan waktu pelaporan KD-RS pra dan pasca penerapan fasilitasi pelaporan KD-RS dan W2 DBD dengan p value 0,063. Ada perbedaan yang bermakna persentase kelengkapan pelaporan KD-RS (p= 0,046), ketepatan waktu W2 (p= 0,010), dan kelengkapan pelaporan W2 (p= 0,015) pra dan pasca penerapan fasilitasi pelaporan KD-RS dan W2 DBD. Simpulan penelitian adalah perbedaan kelengkapan pelaporan KD-RS, ketepatan waktu W2, dan kelengkapan pelaporan pra dan pasca penerapan fasilitasi pelaporan KD-RS dan W2 DBD. Research problem was how to facilitate reporting of KD-RS and W2 DBD can improve the timeliness and completeness of dengue surveillance reporting. Research purpose was to determine the KD-RS facilitating reporting and W2 DBD to improve the timeliness and completeness of dengue surveillance reporting. Research method was a pre-experimental design by one group pretest-posttest. Population was 8 hospitals in Pekalongan region. Research subjects were 8 hospital surveillance officers (8 people), head of P2P-PL (1 people) and P2P staff (2 people) in DKK Pekalongan, using total sampling. The instruments were questionnaire, observation checklist, and documentation check list. Data analysis by Wilcoxon test (α=0.05). The results showed no significant difference in the percentage reporting timeliness KD-RS facilitating between pre and post implementation reporting KD-RS and W2 DBD (p value= 0.063). There was significant difference percentage reporting completeness KD-RS (p=0.046), timeliness W2 (p=0.010), and completeness of reporting W2 (p=0.015) before and after application of KD-RS facilitating reporting and W2 DBD. Conclusion, there were difference percentage of completeness KD-RS reporting, W2 timeliness, and reporting completeness between pre and post implementation reporting facilitation KD-RS and W2 DBD.
RISK FACTORS OF MALARIA INCIDENCE WITH SPASIALS APPROACHING Dt.Mangguang, Masrizal
KEMAS: Jurnal Kesehatan Masyarakat Vol 10, No 2 (2015)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v10i2.3373

Abstract

Malaria caused by sporozoa of plasmodiumthat infected to human by female Anopheles mosquitos with periodical feverish phenomena, anaemia, limpha’s amplification, and another phenomena. In Padang city, API on 2011 as big as 0,4, it’s greater than 2010 with API 0,22. The purpose of this research was to know risk factors and distribution of malaria at Padang City. This research has been done in 2012 used case control study with 58 samples, consisting of 29 cases and 29 controls. Data collecting with questionnaire. Analysis univariat, bivariat, and multivariate, spatial analysis by using Epi Info 7 and Arc View GIS. The results of the study were most of cases living around marshes and garden, had outdoor activity at night, and didn’t use nets and repellent. Bivariate analysis that becomes risk factor of malaria were using nets p=0,025 (OR = 4,480, CI = 1,339-14,991), using repellent p=0,018 (OR = 4,222, CI = 1,409-12,657), had outdoor activity at night p=0,029 (OR = 4,107, CI = 1,292-13,057), and living around garden p=0,004 (OR = 5,971, CI = 1,901-18,754). The results of analysis spatial showed that malaria incidence found in most of districts and around the river. The conclusion, the most dominant risk factors were nets used, repellent used, and living around garden.Malaria masih menjadi masalah kesehatan masyarakat Indonesia. API Kota Padang pada tahun 2011 sebesar 0,4, meningkat dibanding tahun sebelumnya yang sebesar 0,22. Tujuan dari penelitian ini adalah mengetahui faktor risiko kejadian serta distribusi malaria di Kota Padang. Penelitian dilakukan pada tahun 2012 dengan desain penelitian case control study pada 58 orang sampel, terdiri dari 29 kasus dan 29 kontrol. Variabel penelitian adalah kebiasaan pemakaian kelambu, penggunaan obat anti nyamuk, kebiasaan keluar rumah malam hari, keberadaan rawa-rawa, dan keberadaan kebun campur. Pengumpulan data melalui kuesioner. Analisis univariat, bivariat, multivariat, dan analisis spasial dengan Software Epi Info 7 dan Arc View GIS. Hasil penelitian yaitu kelompok kasus lebih banyak tinggal di sekitar rawa-rawa dan kebun, kebiasaan keluar rumah malam hari, serta  tidak menggunakan kelambu dan anti nyamuk. Analisis bivariat menunjukkan faktor risiko malaria adalah pemakaian kelambu p=0,025 (OR = 4,480, CI = 1,339-14,991), penggunaan anti nyamuk p= 0,018(OR = 4,222, CI = 1,409-12,657), kebiasaan keluar rumah pada malam hari p=0,029 (OR = 4,107, CI = 1,292-13,057), dan keberadaan kebun p=0,004(OR = 5,971, CI = 1,901-18,754). Hasil analisis spasial menunjukkan distribusi kejadian malaria hampir di seluruh kecamatan dan sekitar aliran sungai. Simpulan penelitian yaitu ada hubungan yang bermakna pada kebiasaan pemakaian kelambu, penggunaan anti nyamuk, keluar rumah pada malam hari, dan keberadaan kebun campur terhadap kejadian malaria. Faktor risiko dominan yaitu pemakaian kelambu, penggunaan obat anti nyamuk, dan keberadaan kebun campur.
FAKTOR IBU DAN BAYI YANG BERHUBUNGAN DENGAN KEJADIAN KEMATIAN PERINATAL Mahmudah, Ummul; Hary Cahyati, Widya; Wahyuningsih, Anik Setyo
KEMAS: Jurnal Kesehatan Masyarakat Vol 7, No 1 (2011)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v7i1.1792

Abstract

Masalah penelitian adalah bagaimana hubungan faktor ibu dan bayi berhubungan dengan kejadian kematian perinatal. Tujuan penelitian ini untuk mengetahui faktor ibu dan bayi yang berhubungan dengan kejadian kematian perinatal di Kabupaten Batang. Penelitian ini dilakukan dengan metode survei kendali kasus. Populasi penelitian ini adalah semua bayi yang lahir mulai umur kehamilan ≥28 minggu atau > 7 hari yang tinggal di wilayah Kabupaten Batang. Sampel berjumlah 47 kasus dan 47 kendali diperoleh dengan menggunakan teknik acak. Data primer diperoleh dengan kuesioner dan data sekunder dari puskesmas dan Dinas Kesehatan Kabupaten Batang. Data dianalisis menggunakan rumus statistik uji chi square (α=0,05) dengan penentuan odds ratio (OR). Dari hasil penelitian didapatkan bahwa faktor risiko yang berhubungan dengan kejadian kematian perinatal di Kabupaten Batang adalah pendidikan ibu (p= 0,006, OR= 3,878), pengetahuan ibu (p= 0,013, OR= 2,843), paritas (p= 0,016, OR=2,988), BBLR (p= 0,001, OR=7,570), asfiksia (p= 0,001, OR=2,270), dan kelainan kongenital (p= 0,003, OR=2,205). Simpulan penelitiannya ada hubungan antara pendidikan ibu, pengetahuan ibu, paritas, BBLR, asfiksia, dan kelainan kongenital dengan kejadian kematian perinatal.The research problem was how the relationship of mother and infant factors associated with the incidence of perinatal death. Purpose of this study was to identify the factors associated with the incidence of perinatal mortality in the Batang District. Type of research was analytic study with case-control. The population were all infants born from age ≥ 28 weeks gestation or > 7 days living in the area of Batang District. Samples were amount 47 cases and 47 controls. Primary data taken from questionnaires and secondary data of public health centers and health department of Batang regency. Data analyzed using a statistical formula chi square test (α = 0,05) with the determination odds ratio. The result showed that the risk factors associated with incidence of perinatal death were maternal education (p= 0,006, OR = 3,878), maternal knowledge (p = 0,013, OR =2,843), parity (p = 0,016, OR = 2,988 ), low birth weight (p = 0,001, OR =7,570), asphyxia (p = 0,001, OR = 2,270), and congenital anomalies (p = 0,003, OR = 2,205). Conclusion, the risk factors of incidence of perinatal death were maternal education, maternal knowledge, parity, low birth weight, asphyxia, and congenital anomalies.
PROFIL IBU DAN PERAN BIDAN DALAM PRAKTIK INISIASI MENYUSU DINI DAN ASI EKSKLUSI Raharjo, Bambang Budi
KEMAS: Jurnal Kesehatan Masyarakat Vol 10, No 1 (2014)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v10i1.3070

Abstract

Rendahnya cakupan Inisiasi Menyusu Dini dan pemberian ASI eksklusif di wilayah Kabupaten Kendal berdasarkan temuan dalam studi pendahuluan, secara garis besar tidak terlepas dari faktor ibu dan peran bidan penolong persalinan yang merupakan petugas kesehatan yang pertama kali membantu ibu selama proses persalinan yang seharusnya memberikan informasi dan dukungan awal kepada ibu untuk segera melakukan IMD dan melanjutkannya dengan ASI eksklusif. Penelitian ini menggunakan pendekatan secara kuantitatif melalui survei dengan pendekatan cross sectional. Desain ini digunakan untuk mengungkap cakupan inisiasi menyusu dini dan pemberian ASI eksklusif pada bayi yang dilahirkan di bidan praktek swasta di wilayah kerja Puskesmas Limbangan dan Kaliwungu Kabupaten Kendal serta menguji hipotesis variabel karakterstik (profil) ibu dan peran bidan yang diduga berhubungan dengan praktik inisiasi menyusu dini dan pemberian ASI eksklusif. Penelitian kuantitatif melibatkan 200 ibu yang melahirkan dengan pertolongan 20 bidan praktik swasta di Kaliwungu dan Limbangan Kabupaten Kendal. Hasil penelitian menunjukkan faktor-faktor ibu yang berhubungan dengan praktik IMD adalah pengetahuan dan sikap ibu terkait IMD dan ASI Eksklusif. Sedangkan yang berhubungan secara signifikan dengan praktik ASI eksklusif adalah tingkat pendidikan, pengetahuan dan sikap ibu. Demikian juga, peran bidan juga secara signifikan berpengaruh terhadap praktik IMD dan praktik ASI eksklusif. In preliminary study, low coverage initiation breastfeeding early and exclusive breastfeed-ing in the Kendal district can not be separated from the role of maternal factors and mid-wife who is firstly helped the mother during the birth process that is supposed to provide information and support to the mother to immediately IMD and exclusive breastfeeding. This study used a quantitative approach through a cross sectional survey. This design is used to describe of early breastfeeding initiation and practice of exclusive breastfeeding in infants who born in private midwives Kaliwungu and Limbangan of district Kendal, and testing hypotheses corelation between variabel of characteristics(mother profiles) and the role of midwife with early breastfeeding initiation and practice of exclusive breastfeeding. This study involving 200 mothers who gave birth in 20 person of midwife private practice in Limbangan and Kaliwungu Kendal. The results showed that maternal factors associated with the practice of IMD is the knowledge and attitudes of mother about IMD and exclusive breastfeeding. Significantly level of education, knowledge and attitude of the mother as-sociating with the practice of exclusive breastfeeding. Similarly, the role of the midwife also significantly influence the practice of IMD and practice exclusive breastfeeding.
EFEKTIVITAS METODE DISKUSI KELOMPOK TERHADAP MOTIVASI BERPARTISIPASI KEGIATAN POSYANDU IBU BALITA Dewi, Erlis Kusuma; Rustiana, Eunike Raffy
KEMAS: Jurnal Kesehatan Masyarakat Vol 5, No 2 (2010)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v5i2.1869

Abstract

Tujuan  penelitian ini adalah untuk mengetahui pengaruh penyuluhan dengan metode diskusi kelompok terhadap motivasi berpartisipasi ibu balita pada ke-giatan Posyandu di Desa Karangdowo Kecamatan Weleri Kabupaten Kendal. Jenis penelitian ini adalah eksperimen dengan pendekatan quasi eksperiment. Populasi penelitian ini adalah Ibu balita yang menimbang di Posyandu Desa Karangdowo sejumlah 154 orang. Sampel yang diambil 30 orang masing-masing pada kelompok ekperimen dan kelompok kendali. Teknik pengambilan sampel dilakukan secara purposif. Data yang diperoleh dianalisis menggunakan uji t berpasangan dan uji t tidak berpasangan. Hasil penelitian menunjukan bahwa penyuluhan dengan menggunakan metode diskusi kelompok memberikan pengaruh positif terhadap peningkatan motivasi berpartisipasi ibu balita pada kegiatan Posyandu. Hal ini ditunjukkan dari hasil uji t dengan nilai p (0,011) < 0,05. AbstractThe purpose of this research was to study the effect of socialization with group discussion method on the motivation to participate mother toddler on IHC activity in the Village Karangdowo Weleri District Kendal District. This type of research is quasi experiment. The population in this study is the toddler mother who weighed in IHC Karangdowo village a number of 154 peoples. Samples taken 30 peoples each in the experimental and control groups. Sample were taken by purposive sampling. The data were analyzed using paired t test and unpaired t test. We found that the extension by using the method of group discussion gave a positive effect in increasing motivation to participate toddler mother on activity IHC. This appears on the results of the t test with p value (0.011) <0.05.Keywords: Discussion groups; Counseling; Motivation mother; Posyandu; Toddlers

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