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"Persalinan oleh tenaga kesehatan merupakan faktor penting dalam upaya menurunkan Angka Kematian Ibu (AKI). Cakupan pertolongan oleh tenaga kesehatan di Desa Wanaherang wilayah kerja Puskesmas Gunung Putri sebesar 82,38% masih di bawah target SPM. Penelitian ini bertujuan untuk mengetahui gambaran pemilihan penolong persalinan pada 6 ibu nifas di desa Wanaherang wilayah kerja Puskesmas Gunung Putri tahun 2016. Faktor yang diteliti yaitu pengetahuan, sikap, biaya persalinan, kepemilikan BPJS, sumber informasi, dukungan suami, keluarga dan kelompok ibu nifas. Desain penelitian yang digunakan adalah kualitatif dengan data primer yang dikumpulkan melalui wawancara mendalam kepada 10 informan dan diskusi kelompok kepada tiga kelompok yaitu suami, nenek dan teman sebaya. Hasil analisis menunjukkan pengetahuan yang baik dalam memilih penolong persalinan tidak selalu berujung dalam menentukan pertolongan persalinan dengan tenaga kesehatan karena dipengaruhi oleh faktor pemungkin yaitu sumber informasi. Biaya persalinan dan kepemilikan kartu BPJS tidak memiliki peran dengan pemilihan penolong persalinan. Dukungan suami dan keluarga berperan dalam menentukan penolong persalinan.

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Delivery by health personnel is an important factor in efforts to reduce Maternal Mortality Rate (MMR). Scope aid by health workers at the village Puskesmas Wanaherang Gunung Putri amounted to 82.38% is still below the target SPM. This study aims to reveal the birth attendant election at 6 postpartum mother in the Wanaherang District the work area of Gunung Putri Health Center 2016. Factors studied were knowledge, attitude, labor costs, ownership BPJS, resources, support the husband, family and peers. The design study is qualitative primary data collected through in-depth interviews to 10 informants and discussion groups to three groups husband, grandmother and peers. The analysis showed a good knowledge in choosing a birth attendants do not always lead in determining the delivery assistance by health professionals because it is influenced by the enabling factor that is the source of information. The cost of labor and ownership BPJS card has no role in the selection of birth attendants. Support of her husband and family play a role in determining the birth attendant."

"Puskesmas sebagai pelaksana pelayanan JKN berfungsi sebagai gatekeeper menuju pelayanan kesehatan tingkat lanjutan. Konsep gatekeeper terdiri dari kontak pertama, berkelanjutan, koordinasi, dan komprehensif. Penelitian ini ingin melihat implementasi konsep gatekeeper pada pelayanan UKP di Puskesmas X. Penelitian menggunakan metode kuantitatif dan kualitatif. Pengumpulan data kualitatif melalui wawancara mendalam, sedangkan pengumpulan data kuantitatif dilakukan melalui survey kepuasan pasien. Hasil penelitian kualitatif menunjukkan bahwa struktur pada UKP masih kurang pada jumlah tenaga kesehatan, jenis pelayanan, dan fasilitas yang tersedia. Pada proses, masalah yang ditemui adalah waktu tunggu yang terlalu lama sebelum diperiksa, sedangkan durasi pemeriksaan terlalu cepat. Hasil penelitian kuantitatif pada unsur hasil, menunjukkan bahwa kepuasan terhadap pelayanan mencapai 89,13%, kepuasan tertinggi berasal dari dimensi tampilan yaitu 91,67%. Karena jam buka pelayanan hanya sampai pukul 13:00 dan pelayanan hanya sampai hari Sabtu, kontak pertama masih kurang. Banyak kasus yang harus dirujuk karena keterbatasan fasilitas dan prasarana. Implementasi berkelanjutan di Puskesmas X terlihat dari rawat jalan prolanis. Pelayanan UKP di Puskesmas X belum tersedia layanan IGD dan home visit. Koordinasi terlihat dari hubungan Puskesmas X dengan fasilitas kesehatan lain. Implementasi konsep gatekeeper pada Puskesmas X masih kurang pada unsur komprehensif dan kontak pertama, sehingga dapat ditingkatkan dengan penyediaan pelayanan dan penambahan tenaga kesehatan.

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Puskesmas as the implementer of JKN services serves as a gatekeeper to advanced health services. The gatekeeper concept consists of the first contact, sustainable, coordinated, and comprehensive. This research would like to see the implementation of gatekeeper concept in the service of UKP in Puskesmas X. The research used quantitative and qualitative methods. Qualitative data collection through in-depth interviews, while quantitative data collection is conducted through patient satisfaction surveys. The results of qualitative research indicate that the structure in the UKP is still lacking in the number of health workers, types of services, and facilities available. In the process, the problem encountered is the waiting time is too long before being checked, while the duration of the inspection is too fast. The result of quantitative research on the element of results, shows that the satisfaction of the service reaches 89.13%, the highest satisfaction comes from the tangible dimension that is 91.67%. Since the service hours are only until 13:00 and service is only until Saturday, the first contact is still lacking. Many cases have to be referred to due to limited facilities and infrastructure. The ongoing implementation at Puskesmas X is seen from outpatient prolanis. UKP service in Puskesmas X is not available IGD service and home visit. Coordination can be seen from the relationship between Puskesmas X and other health facilities. Implementation of the concept of gatekeeper at Puskesmas X is still lacking in the comprehensive element and the first contact, so that it can be increased with the provision of services and the addition of health personnel."

"ABSTRAKAngka Kematian Ibu (AKI) merupakan salah satu indikator utama yangmenggambarkan derajat kesehatan masyarakat. Angka kematian ibu jugamerupakan salah satu target yang telah ditentukan dalam Milenium DevelopmentGoals (MDGs). Menurut data SDKI 2012 Angka Kematian Ibu (AKI) meningkatcukup besar yaitu 359 per 100.000 kelahiran hidup dari 228 per 100.000 kelahiranhidup (SDKI 2007). Salah satu penyebab tingginya AKI yaitu masih adanyapersalinan yang ditolong oleh tenaga selain petugas kesehatan (paraji). Menurutlaporan tahunan Puskesmas Sentul tahun 2012 cakupan persalinan yang ditolongoleh tenaga kesehatan hanya 57,03 % dari target 87,50 %.Penelitian ini bersifat kuantitatif dengan desain cross sectional . Pengumpulandata dengan cara wawancara kepada ibu yang pernah melahirkan paling lama 12bulan terakhir. Penelitian ini bertujuan mengidentifikasi faktor apa saja yangberhubungan dengan pemilihan penolong persalinan di Puskesmas SentulKabupaten Bogor. Hasil penelitian mendapatkan status sosial ekonomi danbanyaknya keluhan selama hamil menjadi variabel yang berhubungan secarasignifikan terhadap pemilihan penolongan persalinan. Status sosial ekonomimerupakan variabel yang paling dominan dimana ibu yang status sosialekonominya tinggi 5,4 kali memilih tenaga kesehatan sebagai penolong kesehatandibanding dengan ibu yang status sosial ekonominya rendah setelah dikontrol olehbanyaknya keluhan selama hamil, riwayat ANC, pendidikan ibu, pendidikansuami, dan paritas.

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ABSTRACTMaternal Mortality Rate (MMR) is one of the main indicators that describe thehealth of society. The maternal mortality rate is also one predetermined targets inthe Millennium Development Goals (MDGs). According to data from IDHS 2012Maternal Mortality Rate (MMR) is high enough increase that is 359 per 100,000live births from 228 per 100,000 live births (IDHS 2007). One of the causes ofhigh maternal mortality rate is still the existence of births attended by skilledhealth personnel other than (paraji). According to the annual report 2012 Sentulhealth center coverage of births attended by skilled health personnel is only57.03% from targets 87.50%.The study was a cross sectional quantitative study. The data collected are theprimary data, obtained by interviewing mother giving birth under 12 month ago.The aim of this study is to identify the trigger of maternity helper selection ofSentul Health Center, District of Bogor. The results obtained from this studyshowed that the socioeconomic status and complaints during pregnancy variableswere significantly associated with the selection of delivery helper, socioeconomicstatus is the most dominant where 5,4 of mother with high socioeconomic statuswith the delivery helper choose medical personnel as their delivery helpercompare with low socioeconomic status, followed by complaints duringpregnancy, history of ANC, education wife, education husband and parity."

"Puskesmas merupakan fasilitas pelayanan kesehatan penyelenggara upaya kesehatan masyarakat dan upaya kesehatan perorangan tingkat pertama yang mengutamakan upaya promotif dan preventif untuk mencapai derajat kesehatan masyarakat. Dilihat dari jumlah kematian ibu selama kurun waktu tiga tahun dari tahun 2012-2014 terus meningkat, diperlukan penelitian mengenai factor penentu pemanfaatan puskesmas PONED di Kabupaten Bogor. Penelitian ini mengambil lokasi di 22 puskesmas di Kabupaten Bogor yang merupakan puskesmas PONED. Variabel yang diteliti antara lain : pengetahuan mengenai puskesmas PONED, keyakinan, waktu tempuh, sarana transportasi dan perilaku petugas kesehatan. Rancangan penelitian ini dengan pendekatan cross sectional. Data yang dipergunakan data sekunder hasil pendataan puskesmas PONED di Kabupaten Bogor oleh Dinas Kesehatan Propinsi Jawa Barat bulan Juni -Juli 2014.Hasil penelitian menunjukkan variabel pengetahuan, keyakinan responden, waktu tempuh dan sarana transportasi tidak berhubungan bermakna dengan pemanfaatan puskesmas PONED, sedangkan perilaku petugas merupakan factor yang paling bermakna terhadap pemanfaatan puskesmas PONED di Kabupaten Bogor. Dari kelima variabel yang diteliti ternyata setelah diuji multivariate variabel yang paling menentukan terhadap tingginya pemanfaatan puskesmas PONED adalah perilaku petugas kesehatan di puskesmas. Factor lainnya yang mendukung pemanfaatan pelayanan adalah SDM, sarana prasarana dan juga pemantauan oleh dinas dan organisasi profesi. Masih diperlukan penelitian lebih lanjut agar dapat menggali informasi tentang pemanfaatan puskesmas, disamping itu juga diperlukan sosialisasi, promosi serta perencanaan kebutuhan Puskesmas yang tepat yang pada akhirnya dapat meningkatkan pemanfaatan layanan kesehatan ibu di puskesmas PONED.

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Public Health Center is an organizer of health care facilities and public health efforts first level individual health efforts that prioritize promotive and preventive efforts to achieve a degree of public health. Judging from the number of maternal deaths over a period of three years from 2012-2014 continued to increase, research is needed on the use of health centers PONED determinant factor in Bogor. This study took place in 22 health centers in the district of Bogor which is PONED health centers. Variables examined include: knowledge of the health center PONED, belief, travel time, transport and behavior of health workers. The design of this study with cross sectional approach. The data used secondary data collection results PONED health centers in the district of Bogor in West Java Provincial Health Office in June -July 2014.

The results showed a variable knowledge, confidence of respondents, travel time and transportation facilities are not significantly associated with the utilization of health center PONED, while the officer's behavior is the most significant factor for the utilization of health center PONED in Bogor. Of the five variables studied turned out after multivariate test variables most decisive for the high utilization of health centers is PONED behavior of health workers in health centers. Other factors that support the use of the service is human resources, infrastructure, and also monitoring by agencies and professional organizations. Further research is still needed in order to gather information about the use of community health centers, and also it is necessary dissemination, promotion and planning needs proper health centers, which in turn can improve the utilization of maternal health services in health centers PONED."

"[ABSTRAKDiperkirakan 15-20% kehamilan dan persalinan akan mengalami komplikasi.Puskesmas mampu Pelayanan Obstetri Neonatal Emergensi Dasar (PONED)sebagai sarana untuk mendekatkan pelayanan terhadap ibu hamil, bersalin dannifas. Kabupaten Bogor mempunyai 40 Puskesmas dan 22 diantaranya termasukkategori Puskesmas PONED. Puskesmas mampu PONED Parung mempunyaicakupan penanganan komplikasi yang tinggi (77,7%) , sedangkan Puskesmasmampu PONED Cileungsi mempunyai cakupan penanganan komplikasikebidanan yang rendah (50,7%). Menurut teori Edwards III , implementasikebijakan berfokus pada 4 variabel yaitu : komunikasi, sumber daya, disposisi,dan struktur birokrasi.Rancangan penelitian yaitu penelitian kualitatif. Lokasipenelitian di Dinas Kesehatan Kabupaten Bogor, Puskesmas mampu PONEDParung dan Puskesmas mampu PONED Cileungsi.Hasil penelitian menunjukkan untuk variabel sumber daya, Faktor sumber dayamanusia (kompetensi yang tidak merata) menjadi faktor dominan dalampenanganan komplikasi kebidanan di Puskesmas mampu PONED. Untuk variabelkomunikasi Faktor koordinasi menjadi faktor dominan dalam penanganankomplikasi kebidanan di Puskesmas mampu PONED. Untuk variabel strukturbirokrasi didapatkan, struktur organisasi di Puskesmas mampu PONED Parungdan Cileungsi belum lengkap karena tidak melibatkan perawat dan belum adanyapemisahan strukur organisasi PONED di Puskesmas Cileungsi. Untuk variabeldisposisi diperlukan peningkatan komitmen petugas Puskesmas terutama diPuskesmas mampu PONED Cileungsi terkait dengan penanganan komplikasikebidanan di PONED.

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ABSTRACTAn estimated 15-20% of pregnancies and childbirth can develop intocomplications. Basic Emergency Obstetric and Neonatal Care (BEONC) facilitiesas a means to bring services to mothers during pregnancy, labor or delivery, andpost partum period. Bogor Regency has 40 Primary Health Cares (PHCs), 22 ofthem categorized as BEONC. Parung PHC is a BEONC facility with a highcoverage in complication handling (77,7%), while Cileungsi PHC is a BEONCfacility with a low coverage in complication handling (50,7%). According to thetheory of Edwards III, policy implementation focuses on four variables, such as :communication, resources, disposition, and bureaucratic structure.The design ofthe research is a qualitative research. The location of the research in BogorDistrict?s Health Office , Parung and Cileungsi BEONC PHC .The results of the study showed that in the variables of Resources, the humanresources (uneven competence) becomes the dominant factor in complicationshandling BEONC facilities. In the communication variables, the dominant factorin BEmOC facilities complications handling is coordination. In the variables ofbureaucratic structure, the organization?s structure in both Parung and CileungsiPHC is incomplete because it does not include nurses, and in Cileungsi PHC theBEONC structure has not separated yet. In the variables of disposition, anincreased commitment of health officers in complication handling is requiredespecially in Cileungsi PHC., An estimated 15-20% of pregnancies and childbirth can develop intocomplications. Basic Emergency Obstetric and Neonatal Care (BEONC) facilitiesas a means to bring services to mothers during pregnancy, labor or delivery, andpost partum period. Bogor Regency has 40 Primary Health Cares (PHCs), 22 ofthem categorized as BEONC. Parung PHC is a BEONC facility with a highcoverage in complication handling (77,7%), while Cileungsi PHC is a BEONCfacility with a low coverage in complication handling (50,7%). According to thetheory of Edwards III, policy implementation focuses on four variables, such as :communication, resources, disposition, and bureaucratic structure.The design ofthe research is a qualitative research. The location of the research in BogorDistrict’s Health Office , Parung and Cileungsi BEONC PHC .The results of the study showed that in the variables of Resources, the humanresources (uneven competence) becomes the dominant factor in complicationshandling BEONC facilities. In the communication variables, the dominant factorin BEmOC facilities complications handling is coordination. In the variables ofbureaucratic structure, the organization’s structure in both Parung and CileungsiPHC is incomplete because it does not include nurses, and in Cileungsi PHC theBEONC structure has not separated yet. In the variables of disposition, anincreased commitment of health officers in complication handling is requiredespecially in Cileungsi PHC.]"

"Penyebab terbesar kematian ibu masih tetap sama yaitu perdarahan. Upaya untukmengendalikan terjadinya perdarahan yaitu dengan memperbaiki kontraksi danretraksi myometrium. Hormon oksitosin diketahui dapat memicu kontraksi ototpolos pada uterus sehingga akan terjadi involusi uterus dan mencegah terjadinyaperdarahan. Oksitosin dapat diperoleh dengan berbagai cara baik melalui oral,intranasal, intra-muscular, pemijatan yang merangsang keluarnya hormonoksitosin, dan melalui pelaksanaan Inisiasi Menyusu Dini IMD . Pada tahun2013 Sulawesi Selatan menempati posisi kedua cakupan IMD tertinggi diIndonesia dengan pelaksanaan IMD berkisar 42 . Penelitian ini bertujuan untukmengetahui perbedaan kadar hormon oksitosin pada ibu 2 jam post partum yangmenerapkan IMD di RSKDIA Siti Fatimah Makassar Tahun 2017. Penelitian iniadalah penelitian kuantitatif dengan desain cross sectional. Populasi dalampenelitian ini adalah adalah ibu post partum yang melahirkan di RSKDIA SitiFatimah Makassar. Hasil penelitian menunjukkan bahwa pada ibu yang IMDkadar hormon oksitosinnya akan lebih tinggi 35,90 pg/ml setelah dikontrolvariabel kecemasan, hisapan bayi dan dukungan keluarga. Pada ibu yang memilikikecemasan ringan kadar hormon oksitosinnya akan lebih tinggi 17,95 pg/mlsetelah dikontrol variabel IMD, hisapan bayi dan dukungan keluarga. Pada ibuyang hisapan bayinya efektif kadar hormon oksitosinnya akan lebih tinggi 7,26pg/ml setelah dikontrol variabel IMD, kecemasan dan dukungan keluarga danpada ibu yang mendapatkan dukungan keluarga kadar hormon oksitosinnya akanlebih tinggi 11,98 pg/ml setelah dikontrol variabel IMD, kecemasan dan hisapanbayi. Perlu meninjau kembali kebijakan pelaksanaan IMD dengan lebihmemperhatikan kualitas pelaksanaan tidak berfokus pada waktu tapi berfokuskepada kepuasaan bayi.

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The greatest cause of maternal death remains the same is bleeding. Efforts tocontrol the occurrence of bleeding is to improve contraction and retraction ofmyometrium. The hormone oxytocin is known to trigger smooth musclecontraction in the uterus so that there will be involution of the uterus and preventthe occurrence of bleeding. Oxytocin can be obtained by various means eitherthrough oral, intranasal, intra muscular, massage that stimulates the release ofoxytocin hormone, and through the implementation of Early InitiationBreastfeeding. In 2013 South Sulawesi ranked second highest IMD coverage inIndonesia with IMD implementation ranging from 42 . This study aims todetermine differences in hormone levels of oxytocin in the mother 2 hours postpartum that implements IMD in RSKDIA Siti Fatimah Makassar in 2017. Thisresearch is a quantitative research with cross sectional design. The population inthis study is the post partum mother who gave birth in RSKDIA Siti FatimahMakassar. The results showed that in mothers with IMD their hormone oxytocinlevels would be higher 35.90 pg ml after controlled for anxiety, infant suckingand family support variables. In mothers who have mild anxiety, their hormoneoxytocin levels will be higher at 17.95 pg ml after controlled for IMD variables,baby sucking and family support. In mothers with effective baby sucking theirhormone oxytocin levels will be higher 7.26 pg ml after controlled for IMDvariables, anxiety and family support and in mothers who get family support thehormone oxytocin levels will be higher 11.98 pg ml after controlled variablesIMD , Anxiety and baby sucking. Need to review IMD implementation policywith more attention to implementation quality not focused on time but focusing onbaby satisfaction."

"Hasil Riset Kesehatan Dasar tahun 2013 menyebutkan bahwa cakupan ASIeksklusif baru mencapai 38. Menurut Pusat Data dan Informasi Kemenkes tahun2014 diketahui cakupan ASI eksklusif di Indonesia sebesar 54,3. Cakupan ASI eksklusif di Jawa Barat hanya sebesar 33,7 dan cakupan ASI eksklusif diKabupaten Bandung pada tahun 2016 sebesar 17,2. Cukup rendahnya cakupanASI eksklusif disebabkan berbagai faktor. Salah satunya faktor ibu bekerja,terlebih Jawa Barat adalah jantung industri nasional. Angkatan kerja wanita puncukup besar di propinsi ini. Penelitian ini bertujuan untuk mengetahui faktorpenyebab kegagalan ASI eksklusif pada ibu bekerja sektor industri di salah satupusat industri di wilayah Kabupaten Bandung di Bawah pantauan wilayah KerjaPuskesmas Katapang berdasarkan teori Integrated Behavioral Model IBM .Rancangan penelitian ini memakai desain cross sectional pada data primer yangterdiri dari 114 responden. Penelitian dilakukan pada akhir bulan Mei 2017.Analisis data yang digunakan adalah analisis univariat, analisis bivariat denganchi square dan analisis multivariat dengan menggunakan regresi logistik gandamodel prediksi. Hasil penelitian menunjukkan proporsi kegagalan ASI eksklusifpada pekerja sektor industri sebesar 74,6 dengan 48,28 memberi alasan bahwaibu sibuk bekerja/habis masa cuti. Faktor yang berpengaruh signifikan terhadappemberian ASI eksklusif adalah niat menyusui eksklusif p-value 0,021; OR 3,0;95 CI 1,254-7,176 dan ketrampilan manajemen laktasi p-value 0,012; OR 4,22;95 CI 1,46-12,18. Berdasarkan analisis multivariat diketahui bahwa faktorpaling dominan mempengaruhi pemberian ASI eksklusif adalah niat memberikanASI eksklusif p-value 0,018; OR 3,9; 95 CI 1,269-12,055. Niat menyusuieksklusif juga dipengaruhi oleh faktor pendidikan ibu p-value 0,002; OR 6,23;95 CI 2,011-19,300, dukungan tenaga kesehatan p-value 0,000; OR 8,18;95 CI 2,612-25,638, dukungan atasan p-value 0,008; OR 6,59; 95 CI 1,635-26,590 dan dukungan suami p-value 0,006; OR 5,519; 95 CI 1,639-18,578.

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Basic Health Research Results of 2013 stated that exclusive coverage ofbreastfeeding reached 38 only. According to Center of Data and InformationMinistry of Health in 2014 known exclusive breastfeeding coverage in Indonesiaby 54.3. Exclusive breastfeeding coverage in West Java was only 33.7 and thecoverage of exclusive breastfeeding in Bandung Regency in 2016 was 17.2. Thelow coverage of exclusive breastfeeding is due to various factors. One of themwork mother factor, especially West Java is the central of national industry.Women 39 s labor force is quite large in the province.

This study aims to determinethe causing factors exclusive breastfeeding failure in industrial working mothersin one industrial center in Bandung Regency under the monitoring of Katapanghealth center working area based on Integrated Behavioral Model IBM theory.The design of this study used cross sectional design on primary data consisting of114 respondents. The study was conducted at the end of May 2017. Data analysisused was univariate analysis, bivariate analysis with chi square and multivariateanalysis using multiple logistic regression prediction model.

The results showed the proportion of exclusive breastfeeding failure in industrial sector workers of74.6 with 48.28 giving the reason that the mother is busy working out ofleave period. Factors that have significant effect on exclusive breastfeeding areexclusive breastfeeding p value 0.021, OR 3.0, 95 CI 1,254 7,176 andlactation management skills p value 0.012, OR 4.22, 95 CI 1, 46 12.18.

Based on multivariate analysis, it is known that the most dominant factor influencingexclusive breastfeeding is the intention of exclusive breastfeeding p value 0.018 OR 3,9 95 CI 1,269 12,055. Exclusive breastfeeding intentions are alsoinfluenced by maternal education factors p value 0.002, OR 6.23, 95 CI 2.011 19,300 , healthcare support p value 0,000, OR 8.18, 95 CI 2,612 25,638 ,leader Support p value 0,008 OR 6,59 95 CI 1,635 26,590 and husbandsupport p value 0,006 OR 5,519 95 CI 1,639 18,578."

"Sebagian besar kematian anak di Indonesia terjadi pada bulan pertama kehidupannya. Kemungkinan anak meninggal pada usia berbeda, 19 per seribu selama masa neonatal, 15 per seribu dari usia 2 hingga 11 bulan dan 10 per seribu dari usia satu sampai lima tahun (UNICEF, 2012). Hanya 39% dari seluruh bayi di dunia yang mendapatkan ASI Eksklusif (WHO 2002), padahal diketahui pemberian ASI Ekslusif mampu mencegah kematian balita sebanyak 13%. Praktik pemberian ASI di negara berkembang berhasil menyelamatkan 1,5 juta bayi per tahun dari kematian dan kesakitan. Berdasarkan InfoDatin 2015 Provinsi Lampung diketahui K4 mencapai 90% sedangkan capaian ASI eksklusif hanya mencapai 65%. Begitu juga di kabupaten Pringsewu tahun 2015 K4 mencapai 85% namun capaian ASI eksklusif hanya bekisar 60%. Terdapat kesenjangan antara ibu hamil yang mendapatkan pelayanan kesehatan dengan perilaku pemberian ASI eksklusif.Metode penelitian yang digunakan dalam penelitian adalah quasi eksperimen. Jumlah sampel penelitian 84 ibu hamil dan menyusui, yang terdiri dari kelompok pre-test dan post-test intervensi dan kontrol.Hasil penelitian menunjukkan ada pengaruh yang bermakna antara pemberian monitoring konseling laktasi dengan pemberian ASI eksklusif (p=0,017 OR=8,636; 95% CI: 1,5-46,8), artinya ibu yang diberi monitoring konseling laktasinya mempunyai peluang 8,63 kali untuk menyusui eksklusif dibanding ibu yang tidak dimonitoring. Perlunya dilakukan monitoring dan evaluasi tidak terjadwal agar BPS Bidan Delima selalu konsisten dan berkomitmen menerapkan SOP pada setiap pemberian pelayanan kesehatan serta memberikan reward dan punismen agar BPS bidan delima termotivasi untuk terus meningkatkan mutu pelayanan kesehatan.

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Most child deaths in Indonesia occur in the first month of life. Possible children die at different ages, 19 per thousand during neonatal period, 15 per thousand from the age of 2 to 11 months and 10 per thousand from the age of one to five years (UNICEF, 2012). Only 39% of all babies in the world are exclusively breastfed (WHO 2002), whereas exclusive breastfeeding is known to prevent 13% of under-five mortality. Breastfeeding practices in developing countries have saved 1.5 million babies per year from mortality and morbidity. Based on InfoDatin 2015, it is known that K4 reaches 90%, while exclusive breastfeeding achieves only 65%. So also in Pringsewu district in 2015 K4 reached 85% but exclusive breastfeeding achievement is only 60%. There is a gap between pregnant women who receive health services and exclusive breastfeeding behaviors.

The research method used in this research is quasi experiment. The sample size was 84 pregnant and lactating women, consisting of pre-test and posttest of intervention and control.

The results showed that there was a significant influence between lactation counseling monitoring and exclusive breastfeeding (p = 0.017 OR = 8,636; 95% CI: 1,5-46,8), meaning that the mother who was given lactation counseling monitoring had an opportunity of 8.63 times For exclusive breastfeeding compared to unmonitored mothers. The need for monitoring and evaluation is not scheduled for BPS Bidan Delima always consistent and committed to apply SOP on every health service delivery and give reward and punismen so that BPS pomegranate midwife motivated to continuously improve health service quality."

"ABSTRAKNama : Mirza AprianiProgram Studi : Ilmu Kesehatan MasyarakatJudul : ldquo;PENGARUH SMS REMINDER DAN WHATSAPPGROUP REMINDER TERHADAP KEPATUHANREMAJA PUTRI DALAM KONSUMSI TABLETTAMBAH DARAH PADA DUA SEKOLAH MENENGAHATAS DI KABUPATEN BOGOR TAHUN 2018 rdquo;Pembimbing : Ir. Ahmad Syafiq, M.Sc., PhDKepatuhan merupakan salah satu kunci utama keberhasilan suplementasi TTD padaremaja putri. Kegiatan pemberian distribusi TTD kepada remaja putri SMP/SMA diIndonesia khususnya di Kabupaten Bogor sudah berjalan, namun baru sebatas kuantitassaja distribusi TTD , belum sampai pada kualitas termasuk kepatuhan konsumsinya.Penelitian ini bertujuan untuk mengetahui kepatuhan remaja putri dalam konsumsi TTDpada dua SMA di Kabupaten Bogor berdasarkan kelompok yang mendapatkan SMSreminder, WA group reminder dan kelompok kontrol dengan jumlah sampel 132 orang.Hasil penelitian menunjukkan kepatuhan konsumsi TTD pada kelompok perlakuanterbukti lebih tinggi daripada kelompok kontrol dan perlakuan SMS reminder terbuktilebih berdampak dalam meningkatkan kepatuhan konsumsi TTD dibandingkan WAgroup reminder. Pemberian reminder kepada kedua kelompok perlakuan terbukti efektifdengan peluang 2,8 kali lebih patuh saat diberi perlakuan dibandingkan saat perlakuandihentikan. Hasil analisis menunjukkan perlakuan berinteraksi dengan motivasisehingga hubungan perlakuan berbeda menurut motivasi remaja, pada kelompokperlakuan WA group reminder yang memiliki motivasi tinggi berpeluang 1,85 kali lebihpatuh dibandingkan kelompok kontrol. Setelah dikontrol dukungan keluarga danmotivasi, kelompok perlakuan SMS reminder berpeluang 5,6 kali lebih patuhdibandingkan kelompok kontrol. Variabel dukungan teman, pengetahuan dan selfefficacy terbukti berhubungan signifikan terhadap kepatuhan konsumsi TTD p value0,012; 0,004 dan 0,003 dan variabel selain perlakuan yang paling dominan adalahmotivasi OR 18,26 . Hasil penelitian ini diharapkan dapat dipergunakan sebagaimasukan dan pertimbangan dalam program penanggulangan dan pencegahan anemiabagi remaja putri untuk memutus mata rantai kasus kematian ibu.Kata kunci:Kepatuhan, Remaja Putri, Tablet Tambah Darah, SMS reminder, WA Group reminder

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ABSTRACTName Mirza AprianiStudy Program Public HealthTitle THE EFFECT OF SMS REMINDER AND WHATSAPPGROUP REMINDER ON ADOLESCENT GIRL rsquo SCOMPLIANCE IN IRON TABLET CONSUMPTION AT TWOSENIOR HIGH SCHOOLS IN BOGOR DISTRICT IN 2018 Counsellor Ir. Ahmad Syafiq, M.Sc., PhDCompliance is one of the main keys to the success of iron tablet supplementation inadolescent girls. The distribution of iron tablet activities to high school girls inIndonesia, especially in Bogor District has been running, but only limited quantity, notto quality including compliance. This study aims to determine adolescent girlscompliance in the consumption of iron tablet at two Senior High Schools in BogorDistrict based on groups receiving SMS reminder, WA group reminder and controlgroup with total sample of 132 respondent.The results showed that compliance to iron tablet consumption in the intervention groupis higher than the control group and the SMS reminder intervention is proved give moreimpact in improving compliance than WA group reminder. Reminder to bothintervention groups proved to be effective with an opportunity of 2.8 times morecompliance when treated than when intervention was discontinued. The results of theanalysis showed that intervention interacted with motivation so that the interventionrelationships were different according to the motivation of the adolescents, in the highmotivated group group WA reminders were 1.85 times more compliant than the controlgroup. After controlled family support and motivation, SMS reminder group was 5.6times more compliant than the control group. The variables of friend support,knowledge and self efficacy proved to be significantly related to compliance p value0,012, 0,004 and 0,003 and the most dominant variable beside intervention wasmotivation OR 18,26 . The results of this study are expected to be used as input andconsideration in anemia prevention programs for young women to cut women deathcases.Keywords Compliance, Adolescent girls, Iron tablet, SMS Reminder, WA group reminder"

"[ABSTRAKKecamatan Sukamakmur termasuk wilayah Kabupaten Bogor yang masih rendah pertolongan persalinan oleh tenaga kesehatan yaitu 55,2% pada tahun 2014. Tujuan penelitian mengetahui faktor-faktor yang berhubungan dengan penolong persalinan di Kecamatan Sukamakmur. Desain penelitian cross sectional, sampel 146 menggunakan probability proportionate to size sampling. Hasil penelitian ibu bersalin di tenaga kesehatan 52,1% dan non tenaga kesehatan 47,9%. Terdapat hubungan variabel pendidikan ibu, pendidikan suami, pendapatan keluarga, kunjungan antenatal care, akses pelayanan kesehatan dan kepercayaan terhadap tenaga kesehatan, dengan penolong persalinan. Variabel kepercayaan terhadaptenaga kesehatan (pvalue= <0,001) merupakan faktor paling dominan (OR 4,55 95% CI 2,11-9,83.

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ABSTRACTSukamakmur District is one of the areas in Bogor Regency with a low rate of delivery assisted by health care professionals, i.e. 55,2% in 2014. This research aimed to determine the factors associated with the choice of birth attendants in Sukamakmur District. This study used a cross sectional design, collected data from 146 respondents using probability proportionalto size sampling method. The study results show 52,1% of birthwas assisted by health professionals and 47,9%by non-health personnel. It also identified relationship between mother's education, husband's education, family income, antenatal care visits, access to health services, and confidence in health personnel with birth attendant. Confidence in health professionals (p-value= <0,001) was the most dominant factor (OR 4,55 95% CI 2,11-9,83).Key words : birth attendants, health.;Sukamakmur District is one of the areas in Bogor Regency with a low rate ofdelivery assisted by health care professionals, i.e. 55,2% in 2014. This researchaimed to determine the factors associated with the choice of birth attendants inSukamakmur District. This study used a cross sectional design, collected datafrom 146 respondents using probability proportionalto size sampling method. Thestudy results show 52,1% of birthwas assisted by health professionals and 47,9%by non-health personnel. It also identified relationship between mother?seducation, husband?s education, family income, antenatal care visits, access tohealth services, and confidence in health personnel with birth attendant.Confidence in health professionals (p-value= <0,001) was the most dominantfactor (OR 4,55 95% CI 2,11-9,83).Key words : birth attendants, health, Sukamakmur District is one of the areas in Bogor Regency with a low rate ofdelivery assisted by health care professionals, i.e. 55,2% in 2014. This researchaimed to determine the factors associated with the choice of birth attendants inSukamakmur District. This study used a cross sectional design, collected datafrom 146 respondents using probability proportionalto size sampling method. Thestudy results show 52,1% of birthwas assisted by health professionals and 47,9%by non-health personnel. It also identified relationship between mother’seducation, husband’s education, family income, antenatal care visits, access tohealth services, and confidence in health personnel with birth attendant.Confidence in health professionals (p-value= <0,001) was the most dominantfactor (OR 4,55 95% CI 2,11-9,83).Key words : birth attendants, health]"