Beberapa Faktor yang Mempengaruhi Kepatuhan Bidan Desa dalam Pemberian Konseling KB Postpartum pada Ibu Pasca Persalinan di Kabupaten Semarang Tahun 2014

Universitas Diponegoro Fakultas Kesehatan Masyarakat Program Magister Ilmu Kesehatan Masyarakat Konsentrasi Kesehatan Ibu dan Anak 2014 ABSTRAK Nugraheni Kusumawati Beberapa Faktor yang Mempengaruhi Kepatuhan Bidan Desa dalam Pemberian Konseling KB Postpartum pada Ibu Pasca Persalinan di Kabupaten Semarang Tahun 2014 xvii + 139 halaman + 37 tabel + 3 gambar + lampiran Kepatuhan bidan desa dalam pemberian konseling KB postpartum di Kabupaten Semarang masih sangat rendah. Jumlah PUS yang tidak ikut KB masih cukup banyak, yaitu 19.729 orang dan keikutsertaan KB baru pada PUS mengalami penurunan sebanyak 4.034 orang, sehingga belum bisa mencapai target KB yang diharapkan. Tujuan penelitian ini untuk menguji faktor-faktor apakah yang mempengaruhi kepatuhan bidan desa dalam pemberian konseling KB postpartum pada ibu pascapersalinan di Kabupaten Semarang. Metode penelitian observasional dengan metode survey dan pendekatan cross sectional. Instrumen penelitian menggunakan kuesioner dan check-list pada 70 bidan desa yang dipilih dengan Stratified Random Sampling. Analisis bivariat menggunakan uji chi square dan analisis multivariat menggunakan regresi logistik. Hasil penelitian menunjukkan kepatuhan bidan desa dalam pemberian konseling KB postpartum pada ibu pasca persalinan masih rendah (54,3%). Karakteristik bidan desa: 77% berumur antara 18-40 tahun, pendidikan terakhir bidan desa 100% D III kebidanan, dan 66% masa kerja lebih dari lima tahun. Sebagian besar bidan desa berpengetahuan baik tentang KB postpartum (82,9%), memiliki motivasi rendah (51,4%), bersikap positif (62,9%), supervisi bidan koordinator masih kurang baik (54,3%), bidan desa masih kurang terampil dalam pemberian konseling KB postpartum (60%), dan sarana yang dimiliki bidan desa sudah lengkap (65,7%). Ada hubungan antara motivasi (p=0,0001), supervisi (p=0,005), dan keterampilan (p=0,021) dengan kepatuhan bidan desa dalam pemberian konseling KB postpartum. Tidak ada hubungan antara pengetahuan (p=1,000), sikap (p=0,491), dan sarana (p=0,812) dengan kepatuhan bidan desa dalam pemberian konseling KB postpartum. Variabel yang berpengaruh secara bersama-sama terhadap kepatuhan bidan desa dalam pemberian konseling KB postpartum adalah motivasi (ExpB=8,534), supervisi(ExpB=5,587), dan keterampilan (ExpB=3,382). Disarankan Dinas Kesehatan dan Puskesmas untuk lebih meningkatkan motivasi, supervisi, dan keterampilan bidan desa dalam pemberian konseling KB postpartum pada ibu pasca persalinan. Kata kunci : Faktor yang Mempengaruhi Bidan Desa, Konseling KB Postpartum Kepustakaan : 63 (1997 – 2013) Diponegoro University Faculty of Public Health Master’s Program in Public Health Majoring in Maternal and Child Health 2014 ABSTRACT Nugraheni Kusumawati Some Factors influencing the Obedience of Village Midwife in Providing Counselling of Postpartum Family Planning to Mothers after Childbirth in Semarang District in 2014 xvii + 139 pages + 37 tables + 3 figures + enclosures The obedience of village midwives in providing counselling of postpartum family planning in Semarang District was still low. Number of couples of childbearing age who did not follow family planning program was very large, namely 19,729 persons. In addition, new family planning acceptors among those couples decreased about 4,034 persons. Therefore, it had not achieved a target yet. This study aimed to analyze factors influencing the obedience of village midwives in providing counselling of postpartum family planning in Semarang District. This was observational research with survey method and cross-sectional approach. Research instrument used questionnaires and check-lists interviewed to 70 village midwives selected using Stratified Random Sampling. Furthermore, data were analyzed using bivariate analysis (Chi-Square test) and multivariate analysis (Logistic Regression test). The result of this research showed that most of the research participants had lack of obedience (54.3%). In addition, most of them had age ranging from 18 to 40 years old (77%), graduated from DIII Midwifery (100%), and had working period more than five years (66%). Furthermore, most of the respondents had good knowledge about postpartum family planning (82.9%), low motivation (51.4%), positive attitude (62.9%), lack of supervision by coordinator midwives (54.3%), lack of skill in providing postpartum family planning (60%), and complete means (65.7%). The variables of motivation (p=0.0001), supervision (p=0.005), and skill (p=0.021) had significant relationship with the obedience of village midwives in providing counselling of postpartum family planning. On the other hand, the variables of knowledge (p=1.000), attitude (p=0.491), and means (p=0.812) were not significant. Furthermore, the factors of motivation (Exp(B)=8.534), supervision (Exp(B)=5.587), and skill (Exp(B)=3.382) jointly significantly influenced the obedience of village midwives. As suggestions, District Health Office and health centers need to improve motivation, supervision, and skills of village midwives in providing counselling of postpartum family planning among mothers after childbirth. Key Words : Factors Influencing Village Midwife, Counselling of Postpartum Family Planning Bibliography : 63 (1997-2013

Factors Influencing Midwife Practices in Antenatal Services in The Early Detection of High Risk Pregnancy in Serang District

In Serang regency for 2 last years occured increasing of mother dead. This case more take place at antenatal period than having birth and porturition period. Mother dead can be prevented if high risk pregnant mother detected early, on of the method by doing pregnancy checkup appropriate with 7T standart to the pregnant mother. This research has purpose to identify and analize factors that affect midwife practice in antenatal care of high risk pregnancy early detection at Serang Regency. This research is analitik description research with cross sectional approach. The research subjects were midwife that practice BPM by use sample 73 midwifes. Result of the research showed that 52.1% respondent didn’t do antenatal care on the high risk pregnancy early detection. Factors  that related to midwife practice in antenatal care were age, education, long time of work and knowledge where result of statistic experiment was gotten p value < 0,05. Suggestion for IBI is increase monitoring and educating to its members, Health Department should be more distinct give a reward and punishment to BPM practice so that rescuing mother and baby more success, and for BPM should increase knowledges

PENGARUH PELATIHAN SADAR MAKAN IKAN TERHADAP PENINGKATAN PENGETAHUAN, SIKAP, PRAKTIK DAN ASUPAN GIZI IBU DAN ANAK BALITA

ABSTRACT Background: Indonesia is a country with high potential on fish producing but lack consuming of it. The training of realization in consuming fish is considered to give knowledge, attitude and practice to the mother in consuming fish for her family. Objectives: to discover the differences on knowledge, attitude and practice in consuming fish of the mother which has children 3-5 years old in which given training in cooking fish and with those who only receive the information. Method; this training is including quasi experimental by using pretest posttest control group design. This research takes place in two "Kelurahan": Gisikdrono as treatment group and Pleburan as control group. The amount of the sample of this research are 29 women for treatment group and 30 women for control group. The knowledge and attitude is –measured by using questionnaire, while the practice on consuming fish using recall method. The data is statistically analyzed by using Mann Whitney test in scoring knowledge and attitude, whereas nutrition intake by using independent samples test. Results: The research shows a significant progress on knowledge, attitude and practice in consuming fish of treatment group. On the other hand, in control group there is only a progress on knowledge. There is in significant different on score of knowledge and attitude between treatment group and control group when doing posttest (Asymp. Sig 0,016 ang 0,002). In the intake of the nutrition from the fish there is a significant different too between treatment group and control group in doing posttest for energy, total fat, protein and phosphor (each 0,01; 0,03; 0,03; and 0,01). Conclusion; The training of realizations in consuming fish make significant increasing of knowledge, behavior, and practice, and nutritional intake other trainee. Key words: Fish consuming, training, knowledge, attitude, practic

Analisis Faktor - Faktor yang Berhubungan dengan Praktik Aborsi di Kecamatan Pegandon Kabupaten Kendal

Background : Women are faced unique reproductive health threats, one of which is the unsafe abortion. Abortion remains a controversial having been in existence since the history of mankind was written. At the Central Java PKBI (Indonesian Family Planning Association) clinic, There are average of 50 to 70 abortion cases every month. The objective of this research is to find out the factors that influence abortion practices among women in Pegandon sub-district, Kendal regency.Method : The recearch itself is of the explanatory type using crossseectional approach. The population of the research are 6,344 women of the reproductive age in Pegandon sub-district, Kendal District. 32 women have taken as samples. Simple random sampling is done to obtain the quantitative data. The recearch is conducted through questionaires. To obtain the qualitative data, interviews with 5 respondents are thoroughly carried out. For data validation, interviews with 5 village midwives – who provide services for the respondents – are also thoroughly conducted. The data is then analyzed using SPSS software for Windows, version 10.0 as well as univariate, and multivariate methods.Result : The results of the analysis show that there is no correlation between the age, the level of education, the occupation, the marital status, the term of the pregnancy, the knowledge and attitude on the one side, and the abortion practice on the other. (p > 0,05). A significant correlation between the number of children and the abortion practice isfound in this research (p < 0,05). A multivariate analysis with logistic regression shows that the number of children variable is the main variable influencing the abortion practice in Pegandon sub-district in Kendal regency, (p<0,04

Faktor-faktor yang Melatarbelakangi Persepsi Penderita terhadap Stigma Penyakit Kusta

Background: By the year of 2006, there were 4.171 registered leprosy cases in Central Java, 1.989 of them on going treatment, 163 were children and 241 of people deformed due to leprosy. Lack of knowledge on leprosy cause negative perception toward this disease, so willincrease stigma in the community. This study aims to describe the patients' perception to leprosy disease.Method: This study was a qualitative case study, involved 8 patients selected from leprosy cases with the criteria of on going treatment in Tugurejo Hospital Semarang. In-depth interview was conducted to obtain details answers from respondents.Result: Respondents perceived that leprosy was an infectious disease and it was possible to be infected to other people easily, especially to those who careless in performing healthy behavior. Most of respondents were lack of knowledge of the disease transmission. They perceived that leprosy is a dangerous disease and lead to death or deformities. Positivebehaviors were depicted as a good self care, regular treatment, and socialization whereas negative behaviors were described as in-complying treatment, being isolated and giving up of hopes. All respondents covering their disease and limit their socialization in order to avoid stigmatization

Faktor-Faktor yang Berhubungan dengan Praktik Wanita Pekerja Seks (WPS) Jalanan dalam Upaya Pencegahan IMS dan HIV/AIDS di Sekitar Alun-Alun dan Candi Prambanan Kabupaten Klaten

Background: Data from Serro Survey about STI and HIV & AIDS in Klaten in 2005 showed, 5 FSWs (8.4%) have syphilis infected from 59 FSWs followed testing and in 2006, 8 FSWs (18%) have syphilis infected and 1 (2.2%) FSW has HIV infection.Method: The aim of this study was to know factors related practicing Street FSWs for protecting STI and HIV & AIDS around Klaten Square and Prambanan Temple, Klaten. This research was an observational study using cross sectional approach. Questionnaire used for data collecting with 44 samples. Data analyses of this study were univariate, bivariate by chi square and multivariate by logistic regression.Result: The result of this research showed there were relation between knowledge about STI and HIV & AIDS (p value = 0.032), perceived susceptibility on infecting STI and HIV & AIDS (p value = 0.001). Some variables not related in this research, there were age, education, marital status, income, working period, perceived severity, perceived benefit, perceived barrier, and cues to action. This research don't have dominant dependent variable related practicing Street FSWs on protecting STI and HIV & AIDS, but perceived severity was a variable resemble significant (p-value=0.092). Klaten Health Office especially Communicable Disease Control Program suggest to make an advocacy for STI and HIV & AIDS. Increase knowledge about STI and HIV & AIDS and perceived susceptibility, severity, benefits and cost through promotion by Health Officer