Hasil Pencarian  ::  Simpan CSV :: Kembali

"ABSTRAKThe leading causes of infant deaths are largely preventable and there are reasons from both the supply and the demand sides of healthcare why they may be perpetuating. This study aimed to ascertain factors affecting the preventive healthcare behaviour of immunisation of infants in the Philippines which is timely because completion, or adherence, rate had plateaued in recent decades. The method employed was the creation of statistical models at sub-nationallevel. The sample contained infants born prior to the 2013 Philippines National Demographic and Health Survey to determine proper adherence to the government-mandated immunisation schedule. This involved merging the 17 administrative regions of the country to the traditional three sub-national regions. It is observed that the higher maternal education level and improved household socioeconomic status were the most indicative factors of improved adherence across all regions. This is also the case to some extent with more advanced maternal ages at giving birth. Autonomy of mothers to visit healthcare facilities depicts conflicting relations for different regions as well as how mothers behave depending on the nature of intention to give birth. These aspects regarding predictive factors of preventive care have yet to be studied keenly at the regional level in the Philippines."

"Angaka kematian ibu di Indonesia saat ini masih tinggi, pada tahun 1997 sebesar 373 per 100.000 kelahiran hidup, padahal pemerintah dalam hal ini Depkes ingin menurunkan angka kematian ibu. Untuk menurunkan angka kematian ibu (AKI) pemerintah telah menempatkan petugas kesehatan (Bidan di desa) dan fasilitas pelayanan kesehatan sampai kedaerah terpencil untuk ikut menjaga kesehatan ibu dan bayi selama masa kehamilan, persalinana, dan masa sesudah persalinan. Tujuan penelitian ini ingin mengetahui gambaran tingkat kepatuhan. bidan di desa terhadap standar pelayanan antenatal care (ANC) di Kabupaten Karawang, serta faktor-faktor apa saja yang berhubungan dengan kepatuhan bidan di desa terhadap standar pelayanan antenatal. Rancangan penelitian adalah cross sectional (potong lintang), populasi penelitian ini bidan di desa yang ada di Kabupaten Karawang, sebanyak 277 orang dengan jumlah sampel sebanyak 162 orang. Data di analisis secara univariat. bivariat, dan multivariat dengan menggunakan regresi logistik ganda. Perangkat lunak yang dipakai ialah program komputer di laboratorium Program Studi llmu Kesehatan Masyarakat Universitas Indonesia (PS-IKM). Hasil penelitian yang didapat adalah dari 162 responden, yang patuh terhadap standar pelayanan antenatal care (ANC) sebanyak 115 responden (71,0%), dan yang tidak patuh sebanyak 47 responden (29,0%). Faktor yang memiliki hubungan dengan kepatuhan bidan di desa terhadap standar pelayanan antenatal care (ANC) adalah.umur, pengalaman kerja, pengetahuan, sedangkan perkawinan, pelatihan, supervisi dan sarana tidak memiliki hubungan bermakna. Sedangkan hasil multivariat faktor yang paling dominan berhubungan dengan kepatuhan bidan di desa pada standar pelayanan antenatal adalah status perkawinan. Mempertimbangkan hasil penelitian ini, maka disarankan kepada semua pihak yang terkait (Dinas Kesehatan, Puskesmas) perlu pembinaan khusus terhadap bidan di desa terutama bidan di desa yang memiliki tingkat pengetahuan yang kurang, sedangkan untuk bidan perlu meningkatkan pengetahuannya melalui pelatihan dan banyak membaca. ......The Factors that Related to Village Midwife Compliance on Antenatal Service Standard at Karawang District, 2002The Maternal Mortality Rate (MMR) in Indonesia is still high, it was 373 per 1000 live births, 1997, even the government, and MOH would like to reduce it. To reduce the MMR, the government has been placed Village Midwife and facility of health service up to Remote Areas to participate maintain the maternal health and infant during pregnancy, delivery, and post-natal. The objective this study is to determine the description of Village Midwife compliance rate to ANC standard at Karawang District, and also on what factors that influence to Village Midwife compliance to ANC standard. The study design used cross-sectional, the population of this study is Village-Midwife that available at Karawang District, and the number is 277 people, with the sample as 162 people. The data was analyzed by univariate, bivariate, and multivariate used logistic regression. The software is computer program at the Laboratory of the Faculty of Public Health, University of Indonesia (PS-IKM-UT). The result of this study obtained that out of 162 respondents who's having compliance to ANC standard as 115 respondents (71.0%), and was not compliance 47 respondents (29.0%). Result of bivariate prove have significant relationship to Village Midwife compliance to ANC standard are age, work experience, knowledge, while marital, training, supervision and facility is not having significant relationship. The specially vector to related wich compliance to ANC standard as married status. Considering to the result of this study, it is recommended to all related parties (Local Health Service, Health Center) need special guidance to Village Midwife, especially Village Midwife that having lower compliance, while for Midwife should increase her knowledge through training and a lot of reading."

"ABSTRAKPendahuluan : Dampak kehamilan pada remaja erat kaitannya dengan risiko kesehatan ibu dan bayi. Dalam menentukan risiko kesehatan harus dilihat secara komprehensif. Tujuan : Menelaah pengaruh kehamilan remaja terhadap kesehatan ibu dan bayi. Metode : Analisis sekunder dari Survei Demografi Kesehatan Indonesia SDKI tahun 2012, dengan sampel 2.167 responden yang memenuhi syarat inklusi wanita usia subur yang pernah melahirkan anak pertama sejak Januari 2007 sampai survei dilaksanakan. Analisis menggunakan polychoric PCA untuk menentukan komposit indeks kesehatan ibu dan bayi, serta regresi logistik untuk mengetahui besar hubungan kehamilan remaja terhadap kesehatan ibu dan bayi. Hasil : Kesehatan ibu dapat ditentukan melalui indikator status kesakitan maternal, akses layanan kesehatan dan perilaku kesehatan. Kesehatan bayi dapat ditentukan melalui indikator status kesakitan bayi dan status gizi bayi. Kehamilan remaja dengan status pendidikan tinggi memiliki risiko kesehatan ibu lebih buruk 5,4 95 CI= 1,3 ndash; 22,0 kali dibandingkan pada kehamilan dewasa setelah dikontrol oleh variabel pekerjaan, sosial ekonomi dan wilayah. Sedangkan pada kehamilan remaja dengan pendidikan menengah risiko remaja memiliki kesehatan buruk 1,9 95 CI=1,3-2,8 kali lebih tinggi dibandingkan dengan usia dewasa. Kehamilan remaja memiliki risiko kesehatan bayi lebih buruk 1,3 95 CI = 0,9 ndash; 1,7 kali dibandingkan usia dewasa. Kesimpulan : Pada ibu hamil usia remaja memiliki kondisi kesehatan ibu dan bayi yang lebih buruk dibandingkan usia lainnya.

---

ABSTRACTIntroduction The impact of adolescents pregnancy are related to the risk of maternal and infant health. To define health risk should be viewed comprehensively. Objective To evaluate the effect of adolescent pregnancy on maternal and infant health. Methods Secondary analysis of Indonesia Demographic Health Survey IDHS 2012, with a sample of 2.167 respondents who qualified inclusion criteria women of childbearing who have first child given birth since January 2007 up to the survey occur . Polychoric PCA used to make the composite index of maternal and infant health. Logistic regression used to to determine the relationship of adolescent pregnancy on maternal and infant health. Results Maternal health can be define by a status indicator maternal morbidity, access to health care and health behaviors. Infant health can be define by indicator infant morbidity and nutritional status of infants. Adolescents pregnancy with higher educational status had a risk of 5,4 95 CI 1,3 ndash 22,0 times to have worse maternal health compared with adult pregnancies after controlled by occupation, socioeconomic variables and region. Adolescent pregnancy had a risk 1,3 95 CI 0,9 ndash 1,7 times to have worse infant health compared with adult pregnancies after controlled by socioeconomic variables. Conclusion Risk of adolescent pregnancy in maternal and infant health are worse than adult."

"ABSTRAKStunting merupakan masalah global dan nasional yang dapat dideteksi pada usia 2 tahun, sehingga sebelum usia 2 tahun harus dilakukan upaya promosi dan prevensi terhadap faktor risikonya. Penelitian ini bertujuan untuk mengetahui pengaruh pendidikan kesehatan tentang stunting, nutrisi, pola asuh dan depresi ibu serta terapi kelompok terapeutik (TKT) bayi terhadap faktor risiko stunting pada bayi di Indonesia. Desain penelitian yang digunakan adalah quasi experimental prepost test with control group. Pengambilan sampel menggunakan teknik purposive sampling dengan jumlah sampel 96 responden yang dibagi menjadi 2 kelompok. Kelompok intervensi 1 sejumlah 48 orang diberikan pendidikan kesehatan tentang stunting, nutrisi, pola asuh dan depresi ibu. Kelompok intervensi 2 sejumlah 48 diberikan pendidikan kesehatan tentang stunting, nutrisi, pola asuh dan depresi ibu serta TKT bayi. Analisis univariat menggunakan distribusi frekuensi dan tendensi sentral. Analisis bivariat menggunakan uji dependent t-test untuk data yang berdistribusi normal sedangkan untuk data yang berdistribusi tidak normal menggunakan uji wilcoxon. Hasil penelitian menunjukkan bahwa pendidikan kesehatan tentang tentang stunting, nutrisi, pola asuh, dan depresi ibu serta TKT bayi berpengaruh secara bermakna terhadap faktor risiko stunting pada bayi: tinggi badan, berat badan, aspek perkembangan bayi, dan tugas perkembangan bayi danberpengaruh secara bermakna terhadap faktor risiko stunting pada ibu: nutrisi (pengetahuan pola asuh nutrisi, sikap pola asuh nutrisi, perilaku pola asuh nutrisi dan produksi ASI ibu), depresi ibu, kemampuan stimulasi pada bayi baik secara kognitif maupun pasikomotor. Tindakan keperawatan TKT bayi dan pendidikan kesehatan direkomendasikan sebagai upaya pencegahan faktor risiko stunting pada bayi.

---

ABSTRACTStunting is a problem that become a global and national problem. Stunting can be detected at the age of 2 years, so before the age of 2 years promotion and prevention of risk factors such as preventing stunting should occur in the future. This study discusses health education about stunting, nutrition, parenting and maternal depression and infant therapeutic group therapy on risk factors for stunting in infants in Indonesia. The design used in this study was a quasi experimental pre-post test with a control group. Sampling using a purposive sampling technique with a sample size of 96 respondents divided into 2 groups. The intervention group 1 numbered 48 people given health education about stunting, nutrition, parenting and maternal depression. The intervention group 2 contributed 48 given health education about stunting, nutrition, parenting and maternaldepression and infant therapeutic group therapy. Univariate analysis uses frequency distribution and central tendency. Bivariate analysis uses dependent t-test for normally distributed data while for data that is not normally distributed uses Wilcoxon test. The results showed that health education about stunting, nutrition, parenting, and maternal depression and infant therapeutic group therapy were associated with risk factors for stunting in infants: height, weight, aspects of infant development, and development of risk factors for stunting in mothers. Nursing measures for infant therapeutic group therapy and health education are recommended as efforts to prevent risk factors for stunting in infants."