Faktor-faktor yang Mempengaruhi Kejadian Anemia pada Ibu Hamil di Puskesmas Sikumana Kota Kupang Tahun 2012

This research aimed to know the factors that affect the amemia occuranceonpregnant mother at Sikumana Primary Health Care. The kind of this research is quantitative with descriptive design to decribe factors that affect the anemia occuranceon pregnant mothers at Sikumana Primary Health Care. The sample of this research was 36 pregnant mothers who came to do Antenatal Care at Sikumana Primary Health Careespecially at KIA klinic. The result of this research showed that based on the pregnant mother's age factor 18 out of 36 (50%) pregnant mothers suffered anemia were pregnant at the unrisk age that is 20 years old to less than 35 years old (20 years old - < 35 years old); based on the pregnancy age factor 24 out of 36 (67%) pregnant mothers suffered anemia, and the age of their pregnancy was in Trimester III; based on the level of knowledge factor 18 out of 36 (50%) pregnant mothers had low knowledge level; based on the social economy status factor 18 out of 36 (50%) pregnant mothers were in the low social economy status;based on the nutrition intake during pregnancy factor 18 out of 36 (50%) pregnant mothers were in the inadequate nutrition intake; and based on the discipline level of pregnant mother in consuming the Fe tablet factor 36out of 36 (100%) pregnant mothers were indiscipline in consumingit

Health Reproductive Health Services and Its use in Public Health Center Areas of Kupang City

Background: Adolescence is one of the most critical periods in the human life cycle, so a teenage reproductive health service center is needed to provide guidance and health services. Access and acceptability of adolescents in adolescent reproductive health services is lacking. The problem faced by Kupang City Health Office is the program of health care for adolescents (PKPR) is not maximally run in the health center and is still socialized in schools working area of Public Health Center but not all schools, so access teenager to reproductive health problem is still low. Objective: To know the relation of access and acceptability of health service to utilization of reproductive health service of adolescent at Kupang City Health Center. Research Method: Cross-sectional design with quantitative and qualitative approach. Qualitative data were collected by in-depth interview technique. Sampling with simple random sampling. The subject is 110 high school students in the community health centers that have opened adolescent reproductive health service centers. Results: The proportion of adolescent reproductive health service utilization was 26.4%. Bivariable analysis showed a significant relationship between health service access with the utilization of adolescent reproductive health service with p-value <0,05, RP value 20,67 in 95% CI between 4.59-92,99 mean adolescent that utilize reproduction health service Has a 20.67 times greater likelihood in adolescents whose access to health care is easier than in adolescents whose access to health care is difficult. Descriptively, most teenagers need service (85.5%), and have positive attitude (82,7%) and have expectation of reproductive health service at Public Health Center (72,7%). Conclusions: The prevalence of adolescents utilizing reproductive health services is greater in adolescents with access to health care easier than in adolescents whose access to health care is difficult. Acceptability of health services also affects adolescents to utilize reproductive health services

Peer Review: Cognitive Behavior Therapy Lowers Anxiety Levels of Pregnant Women during the COVID-19 Pandemic at Sikumana Health Center

BACKGROUND: Coronavirus disease (COVID-19) is an infectious disease caused by the SARS-CoV-2 virus. Pregnant women are a vulnerable group or at risk for COVID-19. Pregnancy during the COVID-19 pandemic can cause high anxiety for pregnant women. Cognitive behavior therapy (CBT) interventions used can prevent the occurrence of anxiety and depression of pregnant women. AIM: This study aims to know the effect of cognitive behavioral therapy (CBT) on the anxiety of pregnant women during the COVID-19 pandemic. METHODS: This study used a quasi-experimental design with pre-design and post-test designs. The research site was the Sikumana District Health Center, Kupang City, Indonesia. The sample of 80 respondents consisted of 40 intervention group respondents and 40 respondents of the control group. Taylor Minnesota Anxiety Scale (TMAS) questionnaire was used as an instrument in this study. Intervention was held by giving CBT therapy for 10 sessions of meetings in an hour. The control group was given treatment in the form of minimum midwifery standard care (10T) while the intervention group was given therapy in the form of CBT and minimum midwifery standard care (10T). The control group was given CBT treatment twice a month in 10 encounters with stages of identification, cognitive restructuring, identification and correction, and mind notes. The Mann–Whitney U-test was used as data analysis techniques in this research. RESULTS: There was a significant difference between the pretest TMAS score and after the CBT intervention. There was a decrease in the level of anxiety, namely, from the TMAS pretest score of 44.49−28.70 and the value Z pre-test −1,769, Z post-test −5,204, and p = 0.001 (p < 0.05). In the control group, there was no meaningful difference between the TMAS pre-test and post-test scores. CONCLUSION: Cognitive behavior therapy (CBT) effectively lowers anxiety levels in pregnant women during the COVID-19 pandemic

Peer Review: Pemberdayaan Orangtua Melalui Pendidikan Kesehatan Reproduksi Untuk Mencegah Seksual Pranikah Pada Remaja

Kompleknya permasalahan kesehatan pada remaja memerlukan penanganan yang komprehensif dan terintegrasi. Dampak dari permasalahan remaja adalah terjadinya masalah pada kesehatan reproduksi remaja. Salah satu upaya untuk mencegah perilaku seksual pada remaja adalah optimalisasi peran orang tua khususnya Ibu, selama ini pemberdayaan belum dioptimalkan pada aspek ini sehingga penanganan terhadap risiko yang ditimbulkan oleh perilaku seksual pranikah pada remaja belum mendapat perhatian khusus. Tujuan pengabdian masyarakat adalah untuk mengoptimalkan peran orangtua dengan memberdayakan orangtua melalui pendidikan kesehatan reproduksi untuk mencegah seksual pranikah pada remaja Di KUB St. Yakobus Rasul Naimata Kupang. Pelaksanaan kegiatan pengabdian masyarakat dengan cara memberikan penyuluhan, konseling informasi dan edukasi (KIE) kepada orangtua di wilayah KUB St. Yakobus Rasul Naimata Kupang. Analisis univariate yaitu data yang diperoleh dari hasil pengumpulan data disajikan dalam bentuk tabel distribusi frekuensi. Analissis bivariate dengan menggunakan uji paired sample t – test untuk mengetahui perbedaan sebelum dan setelah pemberian penyuluhan dan KIE pada orangtua remaja. Peningkatan rerata pengetahuan orangtua remaja sebelum perlakuan 64.90 dan setelah perlakuan meningkat menjadi 81.00. Hasil uji paired samples t-test menunjukkan bahwa ada perbedaan bermakna pengetahuan orangtua untuk mencegah seksual pranikah pada remaja di KUB St. Yakobus Rasul Naimata Kupang efektif untuk meningkatkan pengetahuan orangtua remaja (p < 0,05)

Peer Review: Optimalisasi Peran Kader Kesehatan Remaja Melalui Refreshing Kader Kesehatan Remaja Di Masa Pandemi Covid 19

Remaja mempunyai permasalahan yang komplek. Permasalahan remaja memerlukan penanganan yang komprehensif. Posyandu remaja diharapkan dapat menjadi wadah untuk memfasilitasi remaja dalam menangani permasalahan kesehatan remaja. Tujuan dari kegiatan ini untuk mengoptimalkan peran kader kesehatan remaja dengan memberikan refreshing bagi kader kesehatan remaja di Puskesmas Watukapu. Kegiatan pengabdian masyarakat dengan memberikan refreshing pada kader kesehatan remaja dengan cara memberikan materi yang terdiri dari pendidikan keterampilan hidup sehat, pengetahuan dan keterampilan remaja tentang kesehatan reproduksi bagi remaja, pengetahuan tentang penyalahgunaan NAPZA dan upaya perbaikan gizi remaja. Terdapat peningkatan rerata pengetahuan kader kesehatan remaja yaitu 65,00 menjadi 81,79. Intervensi pemberian refreshing pada kader kesehatan remaja yang diberikan dapat mengoptimalkan peran dan fungsi kader kesehatan remaja di Puskesmas Watukapu Kabupaten Ngada

Peer Review: The Effectiveness of Health Education about Healthy Pregnancy through WhatsApp Group towards the Knowledge of Pregnant Women at Bakunase Health Center Kupang City 2019

One thing we can do to enrich pregnant women knowledge is through health education about healthy pregnancy. Digital era, known as Web 2.0, or Health 2.0, or Medicine 2.0, makes healthy people and patients rely more on the internet than doctors or health workers as a source of health care information. The number of internet users in Indonesia is growing, reaching up to 64.6% or 171 million citizens. WhatsApp is the most popular application for people to communicate via internet. Thus, it needs to be analyzed the opportunities giving knowledge about health education and health promotion through WhatsApp. The purpose of this study was to determine the effectiveness of health education about healthy pregnancy through WhatsApp group towards the knowledge of pregnant women at Bakunase Health Center, Kupang City. Researchers used experimental research. They used quasi experimental research design with pretest and posttest design. The population in this study were 95 pregnant women in the work area of Bakunase Health Center in 2019. The sampling technique used was purposive sampling, with sample were 48 people. The results of paired samples t-test show that there was a difference between the average pre and post intervention in the provision of health education about healthy pregnancy through WhatsApp group for pregnant women with a p value of 0.0001. The intervention of providing health education about healthy pregnancy towards pregnant women at Bakunase Health Center in Kupang City through WhatsApp group was effective in increasing the knowledge of pregnant women about healthy pregnancy

Peer Review: Faktor-Faktor yang Berhubungan dengan Perilaku Seksual Pranikah pada Remaja di Kelompok Umat Basis (KUB) St.Yakobus Rasul Naimata Kota Kupang Provinsi Nusa Tenggara Timur Tahun 2020

Remaja merupakan masa dimana peralihan dari masa anak anak-anak ke masa dewasa yang meliputi perubahan aspek fisik, psikis dan psikososial. Remaja mengalami banyak tantangan baik dari diri mereka sendiri (biopsychosocial factors) ataupun lingkungan (environmental factors). Apabila remaja tidak dapat menghadapi berbagai tantangan tersebut, mereka dapat berakhir pada berbagai masalah kesehatan yang begitu kompleks sebagai akibat dari perilaku berisiko yang mereka lakukan. Data Riskesdas 2018, menunjukkan bahwa sebanyak 0,3 persen remaja umur 10 – 14 tahun dan 3,7 persen remaja umur 15 – 19 tahun saat ini mengkonsumsi minuman beralkohol. Proporsi umur pertama kali merokok adalah 42,8 persen remaja umur 10 -14 tahun dan 54,2 persen remaja umur 15 – 19 tahun. 64,8 persen remaja belum mengetahui tentang HIV/AIDS. Hasil studi pendahuluan di KUB St. Yakobus Rasul Naimata menunjukkan bahwa terdapat kasus kehamilan remaja sebayak 2 remaja putri atau 4.3 persen. Kompleknya permasalahan kesehatan pada remaja memerlukan penanganan yang komprehensif dan terintegrasi. Tujuan penelitian adalah untuk menganalisa faktor-faktor yang berhubungan dengan perilaku seksual pranikah pada remaja di kelompok umat basis (KUB) St. Yakobus Rasul Naimata Kota Kupang Provinsi Nusa Tenggara Timur Tahun 2020. Jenis penelitian studi deskriptif analitik dengan pendekatan cross sectional. Populasi dan target dalam penelitian ini adalah seluruh remaja di kelompok umat basis (KUB) St. Yakobus Rasul Naimata Kota Kupang yang berjumlah 100 remaja. Teknik analisis data menggunakan analisis deskriptif dan bivariate menggunakan uji uji korelasi Spearman’s Rho dengan α<0.05. Hasil penelitian adalah faktor yang berhubungan dengan perilaku seksual pranikah pada remaja adalah pengetahuan (r= 0,701, p=0,000), pemanfaatan teknologi informasi (r=0,816, p=0,000), dukungan keluarga (r=0,997, p=0,000), lingkungan (r=0,897, p=0,000), keyakinan beragama (r=0,922, p=0,000) dengan perilaku seksual pranikah remaja. Faktor yang tidak berhubungan dengan perilaku seksual pranikah pada remaja adalah ekonomi (r=0,151, p=0,133) dan peraturan yang diterapkan (r=0,025, p=0,802)

Peer Review: Penerapan Komponen Pelayanan Antenatal Care (10T) dengan Kunjungan Ibu Hamil (K4) Di Puskesmas

Background: The maternal mortality rate (MMR) is an indicator of the degree of women's health. The cause of AKI is the knowledge about prevention of pregnancy, childbirth, postpartum and the lack of even good midwifery services for all pregnant women. Quality ANC services have an inspection service indicator in the form of 10T. The research objective was to determine the implementation of the components of antenatal care services by midwives at the Kupang City Health Center in 2018. Methods: This type of research was an analytic observational study with a cross-sectional research design. The population is 30 midwives who work in the MCH clinic in the Puskesmas in Kupang City. The sampling technique was saturated sample/total population—data collection techniques using questionnaires and secondary data collection from PWS KIA. The researcher analyzed the data descriptively in frequency distribution tables and bivariate with Chi-Square. Results: The results of the study: 21 respondents (70%) had implemented the component of antenatal care services, and nine respondents (30%) had not implemented the details of antenatal care services, and six health centres (60%) had not reached the target. Based on the statistical test of Fisher's exact test, the Exact Sig (2-sided) value or p-value: 249 is obtained. Conclusion: A significant p-value of 0.05 indicates that the hypothesis is rejected, which states that there is no relationship between the implementation of the components of antenatal care services by midwives with service coverage. ANC at the Fourth Visit (K4)

‘Sembur’ culture: Local wisdom in care of pregnant mother with malaria in Kupang

Malaria is one of the main public health problems in the province of East Nusa Tenggara (NTT). NTT currently ranks second in malaria cases in Indonesia after Papua. Pregnant women are a risk group, data show that pregnant women suffering from malaria complications in Kupang District is still very high due to the delay in treatment since many patients dominate the primary care of the traditional healer compared to health services. The traditional healers use herbs that are sprayed (sembur)to the patient. This action is an alternative treatment carried out by the local community because it is far from health facilities. Therefore, this study aims to determine the picture of semburculture in pregnant women suffering from malaria in Kupang Regency. This study uses qualitative techniques with a phenomenological approach. The informants were chosen by using purposive sampling and snowball approach. There were six informants, all of whom came from Kupang Regency. The data collected through depth interviews and field notes. Processing and analyzing data in the form of interview results are converted into verbatim transcripts and the results of field notes are analysed in the form of transcripts. The results of this study show three themes from all participants; (1) health beliefs and practices; (2) thoughts and feelings when conducting a sembur culture; (3) hope for a future life. This research is beneficial for maternal and child health as well as educational and service institutions