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"Penelitian bertujuan untuk mengetahui efek pelatihan Asuhan Bayi Baru Lahir (ABBL), Manajemen Laktasi dan Perawatan Metode Kanguru pada kader posyandu di Kecamatan Sawit dan Ngemplak, Kabupaten Boyolali tahun 2014. Metode yang digunakan pra-eksperimental, variabel yang diukur pengetahuan-sikap sebelum dan sesudah pelatihan pada 40 kader. Uji statistik digunakan untuk melihat perbedaan hasil pretest dan postest. Hasil penelitian menunjukkan perbedaan signifikan pada pengetahuan kader tentang ABBL, Manajemen Laktasi dan PMK (p=0,000) dan sikap PMK (p=0,0001) namun tidak terjadi perbedaan sikap yang signifikan pada ABBL (p=0,862) dan Manajemen Laktasi (p=0,065).

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This study aims to determine the effect of training Newborn Care, Management and Treatment Lactation Kangaroo Mother Care ( FMD ) to cadre in health center district of Sawit and Ngemplak, Boyolali 2014. The research method used is pre- experimental by measuring knowledge-attitude before and after the training for 40 person of cadre. The statistical test used to look at differences in pretest and posttest results. Results showed that there was significant difference in knowledge of Newborn Care, Management Lactation and FMD (p=0.000) and attitude FMD (p=0.0001) although no significant difference in attitudes occurred to Newborn Care (p = 0.862) and Lactation Management (p = 0.065). "

"Bayi Berat Lahir Rendah (BBLR) merupakan salah satu penyebab kematian bayi di Indonesia. BBLR dapat ditangani dengan Perawatan Metode Kanguru (PMK). Untuk itu, salah satu kemampuan yang perlu ditingkatkan bidan Musi Rawas adalah penerapan Perawatan Metode Kanguru (PMK). Penyebaran informasi PMK terhadap bidan dapat dilakukan dengan memanfaatkan potensi besar dari perkembangan media sosial (facebook, twitter, yahoo messenger/google+, whatsapp, line, dan blog). Tujuan dari penelitian ini adalah untuk mengetahui gambaran preferensi media sosial dan faktor-faktor yang berhubungan dengan preferensi media sosial tersebut sebagai sumber informasi PMK pada bidan di Musi rawas pada tahun 2016. Penelitian ini menggunakan disain cross-sectional dengan responden adalah anggota aktif IBI (Ikatan Bidan Indonesia) cabang Musi Rawas Sumatera sejumlah 197. Penelitian ini dilakukan pada bulan Mei 2016 di Musi Rawas, Sumatera Selatan. Hasil penelitian univariat menggambarkan anggota IBI Musi Rawas yang memiliki preferensi terhadap media sosial sebagai sumber informasi PMK sebesar 67,5%. Tiga bentuk media sosial yang paling banyak disukai adalah facebook (59,4%), yahoo messenger/google+ (20,3%), dan blog (11,28%). Hasil penelitian bivariat menunjukkan bahwa variabel yang berhubungan bermakna dengan preferensi media sosial sebagai sumber informasi PMK adalah faktor kebutuhan informasi PMK (p=0,006; OR=2,441; CI=1,326-4,495), keterpaparan pelatihan PMK (p=0,039; OR=2,444; CI=1,100-5,434), dan keterpaparan informasi PMK dari media sosial (p=0,000; OR=3,921; CI=2,040-7,535). Penelitian ini merekomendasikan kepada pihak IBI Musi Rawas untuk mendukung bidan dalam menggali pengetahuan lebih dalam mengenai PMK melalui media sosial yang digunakan terutama facebook. Bagi peneliti lain disarankan agar dapat meneliti ulang dengan variabel yang tidak diikutsertakan pada penelitian ini.

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Infant Low Birth Weight (LBW) is one cause of infant mortality in Indonesia. LBW can be handled with the KMC (Kangaroo Mother Care). So that, one needs to be improved capabilities Musi Rawas midwife is the application of the KMC. KMC information dissemination to the midwife can be done by utilizing the great potential of the development of social media (facebook, twitter, instagram, yahoo messenger/google+, whatsapp, line, and blogs).

The purpose of this study is to describe the social media preferences and factors associated with preference social media as a source of KMC information for midwives Musi Rawas. This study used a cross-sectional design. The respondents are consist of active members of IBI (Indonesian Midwives Association) branch Musi Rawas with 197 samples. This study was conducted on May, 2016 in Musi Rawas, South Sumatra.

The results of the univariate analysis describe the IBI Musi Rawas members who have a preference to social media as a source of KMC information is 67.5%. Three forms of social media among the most preferred is facebook (59.4%), yahoo messenger / google + (20.3%), and blogs (11.28%). The results of the bivariate analysis showed that variables related significantly with preferences of social media as a source of KMC information are information needs KMC (p = 0.006; OR = 2.441; CI = 1.326 to 4.495), exposure KMC training (p = 0.039; OR = 2.444; CI = 1.100 to 5.434), and exposure KMC information from social media (p = 0.000; OR = 3.921; CI = 2.040 to 7.535).

The study recommends to the IBI Musi Rawas to support midwives in digging deeper knowledge about KMC through social media are used primarily through facebook. For other researchers suggested in order to examine the variables that are not included in this study."

"Angka kematian bayi (AKB) di Indonesia sangat tinggi. Berdasarkan Biro Pusat Statistik (BPS), AKB pada tahun 1995 adalah 55 bayi per 1000 kelahiran hidup. Salah satu penyebab utama kematian bayi adalah tetanus neonatorum, yang menempati urutan ke 3 (SKRT 1986 dan 1992). Upaya untuk mengeliminasi penyebab kematian terus dilakukan oleh Depatennen Kesehatan dengan target untuk menurunkan insiden tetanus neonatorum menjadi 1 per seribu kelahiran hidup pada tahun 2000. Salah satu kabupaten penyumbang kasus tetanus neonatorum adalah Kabupaten Indramayu dan Kabupaten Cirebon, walaupun ada kecenderungan menurun namun masih diatas target nasional.Penelitian ini bertujuan untuk mengetahui hubungan usia neonatus saat timbulnya gejala-gejala tetanus neonatorum dengan kematian akibat tetanus neonatorum di Kabupatan Indramayu dan Kabupaten Cirebon tahun 1996-2001 sehingga diketahui usia masa kritis neonatus yang menderita tetanus neonatorum untuk meninggal dunia.Rancangan penelitian ini adalah kasus kontrol dengan perbandingan jumlah kasus dan kontrol 1:1. Jumlah sample keseluruhannya adalah 160 neonatus yang menderita tetanus neonatorum, yang terdiri dari 80 kasus dan 80 kontrol. Sample adalah neonatus penderita teanus neonatorum yang berusia 3-28 hari yang tercatat pada Form T2 dan Medical record rumah sakit sejak 1 Januari 1996 sampai 31 Desamber 2001 di Kabupaten Indramayu dan Kabupaten Cirebon .Kasus adalah sample yang meninggal dan kontrol adalah sample yang hidup.Hasil penelitian pada analisa Muitivariat dengan uncondentional logistic regresion, variabel yang berhubungan dengan kematian akibat tetanus neonatorum secara bermakna (p<0.05) adalah usia neonatus yang menderita tetanus neonatorum, dimana neonatus yang menderita tetanus neonatorum yang berusia 7 hari atau kurang mempunyai risiko meninggal dunia 20.06 kali dibanding neonatus penderita tetanus neonatorum yang berusia lebih dari 7 hari, Penderita tetanus neonatorum yang dibawa ke rumah sakit pada hari yang ke 2 atau lebih setelah gejala pertama (tidak mau menyusu dan demam) mempunyai risiko meninggal dunia 6.95 kali dibandingkan dengan yang dibawa ke rumah sakit pada hari pertama setelah gejala pertama, neonatus yang menderita tetanus neonatorum yang diberi dosis obat antibiotik lebih rendah selama dirawat di rumah sakit mempunyai risiko meninggal dunia 4.34 kali di banding neonatus yang menderita tetanus neonatorum yang selama dirawat di rumah sakit di beri dosis obat antibiotik yang sesuai dengan Prosedur tata laksana kasus tetanus neonatorum di RSCM, Jakarta. Variabel kekebalan, antibiotik (jenis dan cara pemberian), anti kejang (jenis,dosis dan cara pemberian) dan cara pemberian ATS tidak berhubungan secara bermakna.(p>0.05) dengan kematian akibat tetanus neonatorum.Disarankan untuk perbaikan dan sosialisasi Protap Tata Laksana Kasus Tetanus Neonatorum baik di tingkat rumah sakit maupun Puskesmas, perbaikan surveillence kasus tetanus neonatorum dan intensifikasi upaya pencegahan tetanus neonatorum.

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The Infant Mortality Rate (IMR) in Indonesia is still high. Based on Central Bureau of Statistics (CBS) the IMR in 1995 was 55/1000 live births. One of the main reasons on infant death is tetanus neonatorum that take a place on the third (Household Health Survey, 1986 and 1992). The effort to eliminate the cause of infant death is still conducted by 1hP MOH with the target to reduce incident of tetanus neonatorum become 111000 live birth on 2000. One the District that contributes the case of tetanus neonatorum is Indramayu and Cirebon Districts, even showing tend to reduce; however it is over with the national target.

The objective of this study was to determine the relationship of neonatus' age when showing the indications of tetanus neonatorum with the death caused by tetanus neonatorum at Indramany and Cirebon Districts in 1996-2001. So it can be known the age on neonatus crisis time that is suffering tetanus neonatorum to death.

The study design was control cases with the comparison; the number of cases group and control group was 1:1. The total number of sample was 160 neonatus tetanus neonatorum that covers of 80-cases group and 80-control group. The sample was the sufferer of tetanus neonatorum whose age was 3-28 days that registered on the T2 Form and Medical Record at the Hospital, since January 1st, 1996 - December 31s', 2001 both in lndramayu and Cirebon Districts. The cases were the samples whose was death and control was the sample that is still alive.

The result of this study based on Multivariate analysis by unconditional logistic regression, It was showed that the variable which related to the death that caused by tetanus neonatorum significantly (p<0.05) was the age of neonatus. The sufferer of neonatus tetanus neonatorum whose the age is 7 days or less, they were having risk to death as 20.06 times compared with the neonatus tetanus neonatorurn whose age over than 7 days. The sufferer of tetanus neonatorum that brought to the Hospital on second day or more after first indication (reluctant to breast-feed and fever) having risk to death as 6.95 times compared with those whom brought to the Hospital on the first day after the first indication. The neonatus tetanus neonatorum who is given lower doses of antibiotic medicine during hospitalized having risk to death 4.34 times compared with whom that hospitalized gave doses of antibiotic medicine that meet with management diagnose, the cases at Cipto Mangun Kusumo Hospital, Jakarta. The variable of immune, antibiotic (type and method of giving), anti-seized (type, doses and method of giving) and the way in giving the ATS was not related significantly (p>0.05) with the death of neonatus caused by tetanus neonatorum.

It is recommended to increase and socialize the protap of Management Tetanus Neonatorum Cases both in the level of Hospital and to the Health Center. It is needed to improve the surveillance on the case of tetanus neonatorum and intensification effort in preventing the cases of tetanus neonatorum."

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