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"Latar Belakang:Anak usia batita yang pernah mengalami perawatan di Unit Neonatologi pada saat lahir berada dalam risikomengalami keterlambatan perkembangan. Terdapat berbagai faktor terkait perkembangan anak usia batita,baik dari aspek ibu maupun anak.Tujuan:Mendapatkan gambaran Developmental Quotient anak usia batita yang pernah dirawat inap di UnitNeonatologi RSCM dan faktor-faktor terkait.Metode:Penelitian ini adalah studi analitik observasional potong lintang yang menilai Developmental Quotient pada83 anak usia batita yang pernah dirawat inap di Unit Neonatologi RSCM pada tahun 2018-2019 yang diambilsecara acak sederhana. Developmental Quotient dinilai dengan menggunakan Capute Scale, dan terdiri dariFull-Scale Developmental Quotient (FSDQ), Clinical Linguistic and Auditory Milestone Scale (DQCLAMS), Cognitive Adaptive Test (DQ CAT). Dilakukan identifikasi faktor-faktor terkait DQ sebagaivariabel bebas, yaitu : jenis kelamin anak, usia gestasi, berat badan lahir, panjang badan lahir, lingkar kepalalahir, lama rawat inap di unit Neonatologi, lama lepas rawat, diberikan ASI eksklusif atau tidak, ada tidaknyaintervensi rehabilitasi, usia ibu saat melahirkan, psikopatologi ibu, komplikasi persalinan, mother-infantbonding, pendidikan ibu, jumlah anak, status sosial ekonomi. Analisis bivariat dengan Chi-square danmultivariat dengan regresi logistik dilakukan untuk menguji hipotesis.Hasil:Sebanyak 38,6% anak usia batita dengan riwayat perawatan di unit Neonatologi RSCM mengalamiketerlambatan FSDQ, 47% keterlambatan DQ CLAMS, dan 31,4% keterlambatan DQ CAT. Terdapathubungan yang bermakna antara pendidikan ibu, psikopatologi ibu, dan status sosial ekonomi terhadapterjadinya keterlambatan FSDQ; serta hubungan bermakna antara jenis kelamin, pendidikan ibu danpsikopatologi ibu dengan keterlambatan DQ CLAM pada subjek penelitian ini. Pada analisis multivariatdidapatkan bahwa variabel paling bermakna dengan kejadian keterlambatan FSDQ pada subjek penelitianini adalah pendidikan ibu (p= 0,048; rasio odd= 4,751; interval kepercayaan 1,017-22,199) danpsikopatologi ibu (p= 0,023; rasio odd= 0,2; interval kepercayaan 0,05-0,804).Simpulan :Anak usia batita dengan riwayat perawatan di Unit Neonatologi perlu diperiksa secara berkala untukmencegah keterlambatan perkembangan. Meningkatkan kesehatan mental ibu dapat mencegahketerlambatan perkembangan.

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Infants with history of hospitalization in Neonatology Unit at births are at risk of delayed development. There

are various risk factor associated with infant development, either from maternal or infant factor.

Objectives:

To determine developmental quotient of infants with history of hospitalization in Neonatology Unit in Dr

Cipto Mangunkusumo General Hospital, and to identify factors related to it.

Method:

Study design was cross-sectional observational analytic study. Subjects were 83 infants with history of

hospitalization in Neonatology Unit, from January 2018 to December 2019 randomly selected. The

Developmental Quotients were assessed using The Capute Scale, and consist of Full-Scale Developmental

Quotient (FSDQ), Clinical Linguistic and Auditory Milestone Scale (DQ CLAMS), Cognitive Adaptive Test

(DQ CAT). We analyzed the association of DQ with 15 independent variables: gender, gestational age,

birthweight, length at birth, head circumference at birth, length of hospitalization in Neonatology Unit,

duration from hospital discharge, exclusively breastfed or not, rehabilitation intervention, age of mother at

birth, mother’s psychopathology, pregnancy and delivery complication, mother-infant bonding, mother

education, number of siblings, and socio-economic status. Bivariate analyzes using Chi-square and

multivariate analyzes using logistic regression were applied for hypothesis testing.

Result:

FSDQ, DQ CLAMS and DQ CAT delay were found in 38,6%, 47,0% and 31,4% of subjects, respectively.

There were significant correlations between maternal education, mother’s psychopathology and socioeconomic

status with delayed FSDQ while delayed DQ CLAMS were related to gender, maternal education

and maternal psychopathology. Multivariate analyzes revealed that the most responsible factor related to

delayed FSDQ in this research were mother’s psychopathology (p= 0,023; odd ratio= 0,2; confidence

interval 0,05-0,804) and mother’s education (p= 0.048; odd ratio= 4.751; confidence interval= 1.017-

22.199).

Conclusion:

Infants with history of hospitalization in Neonatology Unit, should be checked regularly fot delayed

development. Improving maternal mental health and education is important in preventing developmental

delay."

"Latar Belakang. Pemakaian MKJP pascasalin di Indonesia masih rendah. Program KN terintegrasi dengan pelayanan kesehatan ibu nifas dan KB pascasalin yang diarahkan kepada penggunaan MKJP yang dinilai efektif dan efisien.Tujuan. Penelitian ini bertujuan untuk membuktikan bahwa program kunjungan neonatal berpengaruh terhadap penggunaan MKJP pascasalin di Indonesia tahun 2012.Metodologi. Analisis data sekunder SDKI 2012, dengan sampel 3918 WUS umur 15-49 tahun yang melahirkan 1 tahun sebelum survei. Data dianalisis menggunakan uji regresi logistik berganda.Hasil. Proporsi penggunaan MKJP pascasalin di Indonesia rendah. Sebagian besar ibu yang menggunakan MKJP berpendidikan tinggi dengan status sosial ekonomi mampu, tinggal di perkotaan, memiliki suami berpendidikan tinggi, jumlah anak lahir hidup lebih dari 2, jumlah anak masih hidup lebih dari 2, jumlah anak yang diinginkan 0-2, mendapat dukungan dari tokoh agama dan terpapar informasi mengenai KB dari media massa. Ibu yang melakukan KN 1 dan 2 memiliki kemungkinan 1,41 kali lebih besar untuk menggunakan MKJP pascasalin dibandingkan ibu yang tidak melakukan kunjungan neonatal.Simpulan. KN 1 dan 2 berpengaruh terhadap penggunaan MKJP pascasalin.

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Postpartum LACM use in Indonesia is still low. Neonatal care program was integrated with maternal health care and postpartum family planning that is directed to LACM use which is effective and efficient.Objective. The aim of the study was to identify the associations between neonatal care with postpartum Long Acting Contraception Method use in Indonesia 2012.Method. Analysis secondary data of the Indonesia Demographic Health Survey (IDHS) 2012, study samples include 3918 woman aged 15-49 years, who had a live birth within 1 year before the survey. Multiple logistic regression analysis were used to analize the data.Results. The proportion postpartum LACM use in Indonesia is low. The most respondents who used LACM have higher education with wealthier economic status, lived in urban residence, having a husband well educated, the number of liveborn children more than 2, the children still alive more than 2, the desired number of children 0-2, supported by religious leaders and media exposure about family planning. Mothers who performed neonatal care program 1 and 2 have the possibility 1,41 times larger to postpartum LACM use than mother who doesn?t perform neonatal care.Conclusion. Neonatal care 1 and 2 have an effect to postpartum LACM use."

"Pelayanan Obstetri dan Neonatal Emergensi Dasar (PONED) merupakan salah satu pelayanan Puskesmas yang diharapkan dapat memberikan kontribusi untuk penurunan AKI dan AKB. Angka Kematian Ibu (AKI), Angka Kematian Bayi (AKB) dan Angka Kematian Balita (AKABA) di Indonesia tertinggi dibandingkan negara-negara ASEAN lainnya. Kabupaten Administrasi Kepulauan Seribu memiliki 2 Puskesmas Kecamatan yang memiliki rawat inap yang berfungsi PONED dan 4 Puskesmas Kelurahan yang mempunyai perawatan 24 jam. Namun demikian indikator pelayanan Program PONED masih belum mencapai target, salah satunya angka Kematian Bayi dan Rujukan Ibu Melahirkan yang masih sangat tinggi. Penelitian ini merupakan penelitian analitik kualitatif. Informan ditentukan dengan menggunakan purposive sampling. Informan penelitian antara lain masyarakat, Pemerintah Daerah, Tim PONED Puskesmas, Para Kepala Puskesmas PONED, penanggung jawab program PONED Sudinkes Pulau Seribu, dan Penanggung Jawab SDM Kesehatan Sudinkes Kepulauan Seribu. Data yang dikumpulkan berupa data primer dan data sekunder berupa hasil wawancara mendalam dan telaah dokumen. Hasil penelitian diperoleh data bahwa pada standar dan ukuran kebijakan telah dipahami oleh pelaksana kebijakan. Pemahaman ini didukung komunikasi yang jelas dan berkelanjutan antara Dinas Kesehatan, puskesmas dan stakeholder, kejelasan informasi dan konsistensi informasi. Ketersediaan anggaran, sarana dan prasarana sudah mencukupi tetapi terkendala masalah pemeliharaan alat karena faktor air asin yang menyebabkan peralatan mudah berkarat dan rusak. Struktur birokrasi sudah terdapat Keputusan Bupati mengenai tim PONED, namun belum ada struktur khusus PONED di Suku Dinas Kesehatan Kepulauan Seribu Disposisi ditunjukan dengan sikap positif berupa komitmen bersama Pemerintah Daerah dan Puskesmas dalam penanganan ibu hamil, penanganan kasus rujukan ibu melahirkan dengan penyulit. Peran serta masyarakat dalam pelaksanaan PONED sudah ditunjukan dengan pemanfaatan Puskesmas PONED dalam pemeriksaan kehamilan dan proses melahirkan, Output pelaksanaan program PONED sudah dilakukan pencatatan dan pelaporan capaian program kepada penanggung jawab di Sudinkes, belum ada format pelaporan khusus PONED dan belum dilakukan analisa pelaporan PONED serta feedbacak pelaporan belum dilaksanakan. Implementasi pelayanan PONED di Puskesmas Kepulauan Seribu Selatan dan Puskesmas Pulau Seribu Utara sudah berjalan tapi belum optimal dengan adanya hambatan dan kendala di komponen input, proses maupun output yang harus diatasi sehingga pelayana PONED di Kepulauan Seribu bisa berjalan dengan baik.

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Basic Emergency Obstetric and Neonatal Care (PONED) is one of the Primary Health Care services that is expected to contribute to the reduction of MMR and IMR. Maternal Mortality Rate (MMR), Infant Mortality Rate (IMR) and Toddler Mortality Rate in Indonesia are the highest compared to other ASEAN countries. The Seribu Islands Administrative Regency has 2 sub-district health centers that have PONED inpatient care and 4 sub-district health centers that have 24-hour care. However, the service indicators of the PONED program have not yet reached the target, one of which is the very high infant mortality rate and maternal referral. This study was a qualitative analytic study. Informants were determined using purposive sampling. The research informants included the community, local government, Primary Health Care PONED team, Heads of Primary Health Care PONED, the person in charge of the Thousand Island sub-district PONED program, and the person in charge of the Thousand Islands sub-district health human resources. The research results show that the policy standards and measures have been understood by implementers. This understanding is supported by clear and continuous communication between the Health Service, community health centers and stakeholders, clarity of information and consistency of information. The availability of budget, facilities and infrastructure is sufficient but is hampered by equipment maintenance problems due to the salt water factor which causes the equipment to rust easily and cause damage. The bureaucratic structure already has a Regent's Decree regarding the poned team, but there is no special PONED structure in the Seribu Islands Health Sub-Department. The disposition is shown by a positive attitude in the form of a joint commitment between the Regional Government and the Community Health Center in handling pregnant women, handling referral cases of mothers giving birth with complications. Community participation in the implementation of PONED has been demonstrated by the use of PONED Community Health Centers in pregnancy checks and the birthing process. The output of the implementation of the PONED program has been recorded and reported on program achievements to the person in charge at the Health Sub-Department. reporting has not been implemented. The implementation of PONED services at the South Seribu Islands Community Health Center and North Thousand Islands Health Center is already underway but is not yet optimal due to the existence of barriers and obstacles in the input, process and output components that must be overcome so that PONED services in the Thousand Islands can run well."