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"Tingginya Angka Kematian Ibu dan Bayi di Indonesia sering dilatar belakangi oleh tiga jenis keterlambatan (3T) yaitu keterlambatan mengenai tanda bahaya gawat darurat dan mengambil keputusan untuk merujuk, keterlambatan mencari fasilitas pclayanan kcschatan dan keterlambatan mempcroleh pcrtolongan memadai di fasilitas pelayanan rujukan (Depkes,2005).Tujuan Penelitian ini adalah diketahuinya faktor-faktor yang berhubungan dengan pengetahuan suami tentang tanda bahaya pada masa kehamilan, persalinan. nifas dan neonatus, di Kabupaten Garut Jawa Barat, tahun 2007. Penelitian ini menggunakan data sekunder dari " Survei Data Dasar Pengem-bangan Madel Pelayanan Kesehatan Neonatal Esensial di Kabupaten Garut, Jawa Barat, 2007'; yang telah dilakukan oleh Pusat Penelitian Kesehatan UI & Pusat Kajian Promkcs FKM-UI bekerja sarna dengan Save The Children, pada bulan Juli sampai Oktober 2007, di 40 desa dari 10 kecamatan di Kahupaten Garut. Rancangan penelitian adalah potong lintang (cross sectional). Sampel yang digunakan yaitu suami yang memiliki istri dengan hayi yang berumur 0-11 bulan. Jumlah sampcl sebanyak 209 pasang suami istri. Sumber data berasal dari modul survei suami dan ibu. Data yeng berasal dari suami yaitu pengelahuan tentang tanda bahaya pada masa kebamilan, persalinan. nifas dan neonatus, kererlibatan keanggotaan kegiatan sosial, keterpaparan mdia informasi, keterpaparan terhadap Desa Siaga, kepercayaan/kebiasaan yang berhubungan dengan kesehatan maternal dan neonatal, sedangkan yang berasal dari ibu yaitu umur suami pendididkan suami, pekerjaan suami, jumlah anak, pendapatan keluarga yaitu pendapatan istri, suami dan jumlah tanggunagn keluarga, kepemilikan media elektronik, kepemilikan alat transportasi.Variabel terikat adalah pengetahuan suami tentang tanda bahaya pada masa kehamilan, persalinan, nifas dan neonatus, sedangkan variabel bebas adalah karakteristik. suami (umur, pendidikan, pekeljaan, jumlah anak, jumlah pendapatan keluarga, kepercayaan/kebiasaan terkait kesehatan maternal dan neonatal), kepemilikan media komunikasi elektronik, kepemilikan alat transportasi, keterpaparan terhadap media infonnasi, keterpaparan terhadap Desa Siaga, keterlihatan keanggotaan kegiatan sosial. Berdasarkan hasil analisis multivariat dari regresi model akhir kandidat model multivariat didapatkan bahwa variabel pendidikan merupakan faktor dominan yang berhubungan dengan pengetahuan suami tentang tanda bahaya pada masa kehamilan, persalinan, nifas dan neonatus.Saran bagi Depkes RI. khususnya Bagian Promosi Kesehatan agar meningkatkan kerjasama dalam bidang komunikasi dan inforrnasi khususnya dengan institusi pertelevisian nasional untuk memasukan acara penayangan infonnasi kesehatan tematama tentang tanda bahaya pada masa kehamilan persalinan, nifas dan neonatus. Bagi Dinkes Kabupaten, agar I) melakukan advokasi ke Pemda Kabupaten Garut untuk selanjutnya dilimpahkan ke Diknas untuk melakukan peningkatan pendidikan masyarakat Kabupaten Garut. 2) Menganjurkan kepada petugas kesehatan untuk senantiasa mendorong suami agar dapat berperan serta dalam meningkatkan pengetahuan tentang kesehatan maternal dan neonatal, khususnya pengetahuan tentang tanda bahaya diatas.; 3) Melakuan sosialisasi Desa Siaga serta uji coba dibentuknya kader kesehatan yang terdiri dari para suami dalarn suatu forum kegiatan sosial.; 4) Melakukan keljasama dengan stasiun radio setempat untuk mernasukan prognm sosialisasikan peningkatan pegetahuan tentang tanda bahaya pada masa keharnilan, persalinan, nifas dan neonatus. dengan acara yang disukai masyarakat; 5) Kerjasama dengan iustitusi pendidikakan kesehatan setempat baik pemerintah maupun swasta melalui kerjasarna pengelolaan daerah binaan kesehatan. Bagi kelompok profesi IDI, PPNI, IBI, agar senantiasa meningkatkan pemberikan informasi kesehatan khususnya tentang tanda bahaya pada masa kehamilan, persalinan, nifas dan neonatus dengan sasaran suami atau keluarga. Bagi masyarakt dan LSM, PKK, Forum Desa Siaga, agar dapat berperan serta aktif yaitu mengikuti kegiatan social yang dibentuk untuk mengatasi maalah maternal dan neonatal, sehingga dimasa yang akan datang kematian ibu dan bayi yang disebabkan karena keterlambatan mengenal tanda bahaya tersebut dapat teratasi.

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In Indonesia the high number of both maternal and neonatal death rate frequently has Background which consist of delay?s in recognizing emergency danger signs, making decision where to refer the emergency case to the health service facilities and in getting adequate treatment from referral services facilities. (Depkes,2005). This research used aimed to aim factors related wife husband's knowledge about danger sign at pregnancy time,partus, pcstpartus and neonates in Ga:rut West Java, 2007.This research usad secondary data from "Baseline Survey of Neonatal Essential Health Services Improvement Model in Garut Districk West Java, 2007' which was conducted by the Center of Health Research University of Indonesia & Center of Health Promotion Study FKM-UI in cooperation with Save the Children. It third July until October 2007, at 40 covered from 10 district in Garut Distrek. The research design was cross sectional. The selected sample was the husband whose wife matter having infant age 0..11 months. Total sample was 209 couples. The data instrument was take from the modules survey of husband and wife matter infant 0..11 moun infant. The data taken from husbands were knowledge about danger sign at pregnancy time, partus, postpartus and neonates, involvement in the of social organization exposure to information media, exposur towards ? Desa Siaga ?, Aler village program wich related to maternal and neonatal health, while data taken from the mothers were husband?s age, last education, work state job, number of children, family income consist with wife?s and husband?s income and number of family burden, electronic media partnership, vehicles partnership.The independent variable was husband's the knowledge,about danger sign at pregnancy time, partus, postpartus and neonates, while dependent variable was husband characteristic (age, education, job, number of children, family income, trust/habits related with maternal and neonatal health), electronics media communication partnership, vehicles possession, exposures towards information media, exposures towards "Desa Siaga" involvement in social organization activity. The multivariate analysis result showed that from regression of the last candidate model, education variable was the most dominant factor which related with husband knowledge about danger sign at pregnancy time, pregnancy delivery, postpartum, and neonates periode.Suggestions for the Health Department of the Republic Indonesia especially to the latter of Health Promotion is to improve the cooperation in communication and information especially with national television exident status to eximined health information speclatly about danger sign at pregnancy time, partus, postpartus and neonates. sub-province Health Department shall; (1) advocate to the Garut local government especially to ide to improve of level education the people, (2)Emergency health personal always to support the husband to develop their role in increasing knowledge of health maternal and neona!al, especially the above knowledge of danger sign, (3) conduct socialization of Desa Siaga and tryout health cadre formation which coos lists of the husbands , (4) establish cooperation with local radio station to create program of socialization of danger sign in pregnancy time, pregnancy delivery, postpartum, and neonates periode, with event or agenda that interest the society, (5) make cooperation with local health educational institution not only government but also private institution trough cooperation in establish pilot project such at IDI, PPNI, IBI could asistant socially, especially about danger sign in pregnancy time) pregnancy delivery, postpartum, and neonates periode with husband or family as target program."

"[ABSTRAKPenelitian ini bertujuan untuk mengidentifikasi kesadaran ibu hamil risiko tinggiterhadap tanda bahaya pada kehamilan dan faktor yang memengaruhi. Penelitiancross sectional ini melibatkan 107 ibu hamil risiko tinggi yang tersebar diPuskesmas di kota Depok, dipilih dengan consecutive sampling. Instrumen yangdigunakan adalah Birth Preparedness and Complication Readiness (BPCR) toolsversi Bahasa Indonesia. Hasil penelitian menunjukkan bahwa kesadaran ibu hamilrisiko tinggi terhadap tanda bahaya pada kehamilan kurang (54.8%) dan faktoryang memengaruhi adalah jumlah kunjungan pemeriksaan kehamilan, kualitaspelayanan, keterpaparan informasi, paritas dan perencanaan kehamilan (p=0.001,p=0.000, p=0.000, p=0,025, dan p=0,011). Faktor yang paling berpengaruh adalahketerpaparan informasi (OR=11.565; 95% CI=2.419-55.293). Kesadaran ibuhamil risiko tinggi terhadap tanda bahaya pada kehamilan perlu di tingkatkandengan komunikasi informasi dan edukasi (KIE) sampai terjadi perubahanperilaku.

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ABSTRACTThe aim of this study was to identification the influencing factors of the awarenessof danger signs of obstetric complications among of high risk pregnant women.The cross sectional study involved 107 high risk pregnant women in Depok andusing Birth Preparedness and Indonesian version of Complication Readiness(BPCR) tools. The findings showed that awareness of danger signs of obstetriccomplication among high risk pregnant women are less (54.8%) and antenatalcare visits, quality of services, information exposure, parity, and plannedpregnancy (p=0.001, p=0.000, p=0.000, p=0.025, and p=0.011) are theinfluencing factors and the dominant factor is information exposure (OR=11.565;95% CI=2.419-55.293). The pregnant women need to be aware of danger signs ofobstetric complication through providing proper information, education andcommunication.;The aim of this study was to identification the influencing factors of the awarenessof danger signs of obstetric complications among of high risk pregnant women.The cross sectional study involved 107 high risk pregnant women in Depok andusing Birth Preparedness and Indonesian version of Complication Readiness(BPCR) tools. The findings showed that awareness of danger signs of obstetriccomplication among high risk pregnant women are less (54.8%) and antenatalcare visits, quality of services, information exposure, parity, and plannedpregnancy (p=0.001, p=0.000, p=0.000, p=0.025, and p=0.011) are theinfluencing factors and the dominant factor is information exposure (OR=11.565;95% CI=2.419-55.293). The pregnant women need to be aware of danger signs ofobstetric complication through providing proper information, education andcommunication., The aim of this study was to identification the influencing factors of the awarenessof danger signs of obstetric complications among of high risk pregnant women.The cross sectional study involved 107 high risk pregnant women in Depok andusing Birth Preparedness and Indonesian version of Complication Readiness(BPCR) tools. The findings showed that awareness of danger signs of obstetriccomplication among high risk pregnant women are less (54.8%) and antenatalcare visits, quality of services, information exposure, parity, and plannedpregnancy (p=0.001, p=0.000, p=0.000, p=0.025, and p=0.011) are theinfluencing factors and the dominant factor is information exposure (OR=11.565;95% CI=2.419-55.293). The pregnant women need to be aware of danger signs ofobstetric complication through providing proper information, education andcommunication.]"

"Dalam rangka menurunkan angka kematian bayi, salah satu upaya yang diharapkan setiap ibu hamil dapat mengetahui tanda-tanda bahaya kehamilan secara dini yang mengarah kepada kehamilan yang berisiko, sehingga perlu adanya penelitian untuk mengetahui gambaran pengetahuan ibu dalam mengenali tanda-tanda bahaya kehamilan. Penelitian ini merupakan penelitian cross sectional terhadap ibu hamil di wilayah kerja Puskesmas Cimandala Kecamatan Sukaraja Kabupaten Bogor dengan jumlah sampel sebesar 80 orang ibu hamil. Data dikumpulkan melalui wawancara menggunakan kuesioner. Hasil univariat menunjukkan bahwa (81,3%) ibu hamil berpengetahuan kurang. Hasil bivariat dari faktor keterpaparan informasi yang berhubungan dengan pengetahuan adalah sumber informasi media cetak dengan nilai p=0,042, sumber informasi media elektronik dengan nilai p=0,020, sumber informasi dari petugas kesehatan dengan nilai p=0,002 dan frekuensi informasi dengan nilai p=0,000. Untuk meningkatkan pengetahuan ibu hamil maka perlu pemberian informasi mengenai tanda-tanda bahaya kehamilan dari berbagai sumber media baik media cetak, elektronik, informasi langsung dari petugas kesehatan dan perlu peningkatan frekuensi dari informasi.

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In order to reduce infant mortality, every pregnant woman expected to know the danger signs in early pregnancy , so research to find an overview of maternal knowledge in recognizing danger signs of pregnancy is needed. This is a cross sectional study of pregnant women in the region UPT Puskesmas Cimandala Kecamatan Sukaraja Kabupaten Bogor with samples 80 pregnant women. Data were collected through interviews using a questionnaire.

Univariate results showed that (81.3%) pregnant women are less knowledgeable. Bivariate results of the exposure factor information relating to knowledge is the source of information printed by the value p = 0.042, electronic media resources to the value of p = 0.020, the source of health information with a value of p = 0.002 and a frequency information with a value of p = 0.000. To increase the knowledge of pregnant women it is necessary to the provision of information about danger signs of pregnancy from various media sources in literature, electronic, information directly from health workers and we need to increase the frequency of information."

"Angka kematian ibu (AKI) di Indonesia yang masih tinggi menyebabkan sulit tercapainya salah satu poin Millenium Development Goals. Salah satu penyebab AKI yang tinggi adalah kurang baiknya kualitas pelayanan antenatal (ANC) dan ketidak tahuan ibu terhadap tanda bahaya kehamilan. Penelitian ini mencari hubungan kualitas ANC dengan pengetahuan dan sikap ibu hamil terhadap tanda bahaya kehamilan. Subjek penelitian ini sebanyak 109 ibu hamil yang berkunjung ke Puskesmas Kecamatan Koja pada Bulan Maret 2013. Kualitas ANC dinilai melalui observasi pada saat pelayanan, sementara pengetahuan dan sikap dinilai melalui kuesioner yang diajukan secara terpimpin. Penelitian ini mendapatkan bahwa terdapat hubungan bermakna antara kualitas ANC dengan pengetahuan ibu hamil terhadap tanda bahaya kehamilan (p=0,011). Ditemukan pula hubungan bermakna antara pendidikan (p=0,038) dan pengalaman mengikuti penyuluhan tanda bahaya kehamilan (p=0,043) dengan pengetahuan ibu hamil terhadap tanda bahaya kehamilan. Selain itu, terdapat hubungan bermakna antara jumlah kehamilan ≤ 2 (p=0,042) dan datang ke ANC ditemani (p=0,011) dengan sikap ibu hamil terhadap tanda bahaya kehamilan. Kualitas ANC perlu ditingkatkan agar pengetahuan ibu hamil terhadap tanda bahaya kehamilan semakin membaik. Terdapat hubungan antara beberapa faktor sosiodemografis terhadap pengetahuan dan sikap ibu hamil terhadap tanda bahaya kehamilan. Penelitian lanjutan diperlukan untuk menguji hubungan variabel lain yang dapat mempengaruhi kualitas pelayanan antenatal.

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The maternal mortality rate (MMR) in Indonesia that is still high causing one of the points the Millennium Development Goals becomes difficult to achieve. One of the causes is the lack of good quality of antenatal care (ANC), also the lack of knowledge of the danger signs of obstetric. This research finds relationship between quality of ANC and knowledge and attitude of pregnant woman towards danger signs of obstetric. Subjects were 109 pregnant women who visited Puskesmas Kecamatan Koja in March 2013. ANC Quality assessed through observation during the service, while knowledge and attitudes were assessed through a questionnaire guided by researcher.

It was found that there is a significant relationship between the quality of ANC and maternal knowledge about the danger signs of obstetric (p = 0.011). Also found a significant relationship between education level (p = 0.038) and experience in danger sign of obstetric counseling (p = 0.043) with maternal knowledge of the danger signs of obstetric. In addition, there is a significant relationship between number of pregnancies ≤ 2 (p = 0.042) and being accompanied while having ANC (p = 0.011) with maternal attitude toward danger signs of obstetric. Quality of ANC needs to be improved in order to increase pregnant women’s knowledge about danger signs of obstetric.

There are relationships between several sociodemographic factors of pregnant women and knowledge and attitude of pregnant women toward the danger signs of pregnancy. Further research is needed to examine the relationship of other variables that may affect the quality of antenatal care."

"Perawat dapat membantu pasien pneumonia dan keluarganya melalui perencanaan pulang yang tepat. Penelitian ini bertujuan untuk mengetahui pengaruh perencanaan pulang terhadap kepatuhan minum obat dan pemahaman tanda bahaya pneumonia pada anak balita pneumonia di RSUD Karawang. Desain penelitian quasi experimental post test only control group design dengan 58 responden yang dipilih dengan tehnik consecutive sampling. Hasil penelitian dengan uji Chi square menunjukkan adanya perbedaaan yang signifikan antara kelompok intervensi dan kontrol dalam kepatuhan minum obat dan pemahaman tanda bahaya pneumonia (p < 0,001). Jenis kelamin, pendidikan, pekerjaan, jumlah anak, pendapatan, pengalaman merawat anak pneumonia dan dukungan sosial tidak berpengaruh terhadap kepatuhan minum obat dan pemahaman tanda bahaya pneumonia. Rekomendasi dalam penelitian ini sebaiknya perawat memiliki pemahaman yang sama akan pentingnya perencanaan pulang, dan perlu dibuat Standar Operating Procedur beserta alurnya.

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Nurses can help patients pneumonia and his family through appropriate discharge planning. This study aimed to determine the effect of discharge planning on medication adherence and understanding of the danger signs of pneumonia in children under five pneumonia in hospitals Karawang. Quasi-experimental research post test only control group design with 58 respondents were selected by consecutive sampling technique. The study by using Chi square test.

The study found a significant difference in the intervention group and control group about medication adherence and understanding of the danger signs of pneumonia (p < 0.001). Gender, education, occupation, number of children, income, experience to care pneumonia, and social support has no effect on medication adherence and understanding of the danger signs of pneumonia."