Physical activities patterns among Indonesian pregnant women: a cross-sectional study

Many evidence revealed that physical activity (PA) has positive effects on pregnancy outcomes. Healthy pregnant women are suggested to have a combination of PA in light to moderate-intensity activities for 150 minutes per week. The purpose of this study was to analyze the type, the intensity of PA of pregnant women, and the average energy expenditure per week. A cross-sectional study involving 110 pregnant women who came from four community health centers in Bandung city, Indonesia was carried out from April to June 2021. The pregnancy physical activity questionnaire (PPAQ) was used to collect data. Descriptive data were presented using median and percentile. Mann-Whitney and Kruskal Wallis test were used to statistical test. The results of the study where the median energy expenditure per week was 250.50 METs. Most of the PA was light-intensity activities and household/child caring activities. There were still 10% pregnant women who did not exercise. Employed pregnant women had energy expenditure per week higher compared to unemployed pregnant women. Sports/exercise activities were seldom been carried out. This study demonstrated that during pandemic COVID-19, pregnant women are still doing PA. During pandemic COVID-19, health care providers should motivate healthy pregnant women to exercise by creating innovations using social media or online platforms so that pregnant women can exercise at home safely

Validation of the Cadre’s Satisfaction of the <i>Posyandu Lansia</i> Questionnaire

Integrated health post for elderly/posyandu lansia is one of the community empowerment actions in improving the quality of life of the elderly. The role of cadres in managing the posyandu lansia is significant and is influenced by motivational factors that will cause satisfaction or dissatisfaction at work. A qualitative study in Bandung succeeded in exploring the components of satisfaction based on Herzberg's theory. Until now, no questionnaires have been developed to measure the satisfaction of posyandu lansia cadres. This study aims to set up and validate the satisfaction questionnaire for posyandu lansia cadres. A cross-sectional study was conducted on 200 cadres taken by multistage sampling in Bandung, West Java, Indonesia, from October to November 2020. Fifty-four items consisting of 19 motivator factor items and 35 hygiene factor items were tested for validity using the Pearson product-moment correlation coefficient, exploratory factor analysis, and communalities test. In addition, a reliability test was carried out using Cronbach's alpha. The results showed that 16 of 54 items did not meet the requirements, consisting of 5 items from motivator factors and 11 from hygiene factors. The dimensions of the motivator factors changed from 6 dimensions to 4 dimensions, and the dimensions of hygiene factors changed from 8 dimensions to 9 dimensions. It concluded that a new questionnaire on the satisfaction of posyandu lansia cadres has been compiled and can be used to measure the level of satisfaction of cadres. However, further studies need to be carried out involving various regions in Indonesia

Knowledge and Attitudes towards Premarital Screening among Adolescents: A study in a University Setting

Background: Premarital screening (PMS) is an action to prevent the occurrence of genetic and the transmission of infectious diseases. The screening has been recommended and promoted in Indonesia. This study aimed to assess the level of knowledge and attitudes towards premarital screening among teenagers in a university setting.Methods: This study used a cross-sectional design, including 310 adolescents aged 18–21 years at obtained through a non-random consecutive sampling at Universitas Padjadjaran. The data was collected from October 2020 until January 2021 using a close-ended questionnaire, assessing knowledge and attitude towards the PMS. The frequency knowledge level was grouped as good, moderate, and poor. The attitude level was categorized as positive and negative.Results: Most of the respondents (90.3%) had good knowledge of PMS. Respondents who had positive attitudes (79%) strong agreed that carrying out PMS was important, and 51% perceived that PMS needed to be a mandatory procedure before marriage. However, 59.6% had no idea how to deal if the result of the PMS was positive.Conclusion: In general, adolescents at Universitas Padjadjaran have good knowledge and a positive attitude towards PMS. However, comprehensive information about PMS is still needed, especially on decision points that must be taken after getting the test results

The Relationship of Exclusive Breastfeeding History to Morbidity In Infants Aged 1-14 Months

Objectives: This study aims at determining the relationship between the history of exclusive breastfeeding and morbidity in babies aged 1-14 months in the city of Sukabumi. Materials and Methods: This study uses a cross-sectional method with a sample of 71 babies aged 1-14 months in the city of Sukabumi. Data sources used are primary and secondary data, and the Spearman test is used for data analysis. Results: The results showed that there was no relationship between the history of exclusive breastfeeding and ISPA (p=1,000), there was no relationship between the history of exclusive breastfeeding and diarrhea (p=1,000), there was no relationship between the history of exclusive breastfeeding and fever (p=0,477), there is no relationship between the history of exclusive breastfeeding and seizures (p=1,000), there is no relationship between the history of exclusive breastfeeding and pneumonia (p=1,000). Conclusion: The study concludes that there is no relationship between the history of exclusive breastfeeding and morbidities namely ISPA, diarrhea, fever, seizures and pneumonia in babies aged 1-14 months in the city of Sukabumi. Keywords: Exclusive breastfeeding, morbidit

Peningkatan Kadar Hemoglobin melalui Pemeriksaan dan Pemberian Tablet Fe Terhadap Remaja yang Mengalami Anemia Melalui “Gerakan Jumat Pintar”

Anemia iron deficiency in adolescent girls have an impact to decrease of productivity work and academic ability in school and long term can lead to complications in pregnancy and childbirth. Therefore, it is necessary prevention and control of anemia with the provision of iron. The purpose of this research was to determine the intake of iron supplementation and the effectiveness of giving oral iron supplementation to increase levels of adolescent girl’s hemoglobin. This is interventional research with one group pretest-posttest design. The Sample in this research is adolescent girls, with a total sample of 31 respondents. The respondent received iron supplementation every Friday, for one month through “Gerakan Jumat Pintar”. The nutritional intake data were obtained from the food record for 3 days. Statistically, the analysis used is Wilcoxon. The result indicated that anemia iron deficiency in adolescent girls is decrease from 42% to 22.6%. Adolescent girls who suffer from moderate anemia are a decrease from 58% to 42%, whereas adolescent girls who did not suffer from anemia experienced an increase to 35.4%. The result of this research concluded that iron supplementation among adolescent girl is the effectiveness of giving oral iron supplementation through “Gerakan Jumat Pintar” to hemoglobin that is increase 1.01 gr/dl

Pengaruh Komponen Motivasi Belajar terhadap Hasil OSCE Pada Mahasiswa Program Diploma Kebidanan Fakultas Kedokteran Universitas Padjadjaran

ABSTRAK Penggunaan OSCE di Program Diploma Kebidanan Universitas Padjadjaran untuk menilai kompetensi klinik dari tahun 2011 sampai sekarang masih kurang memuaskan dengan rata-rata kelulusan 25%.  Banyak faktor yang memengaruhi hasil  belajar salah satunya adalah motivasi belajar yang terdiri dari komponen daya nilai, harapan dan afektif. Tujuan dari penelitian ini adalah untuk melihat pengaruh daya nilai, harapan dan afektif sebagai komponen motivasi belajar terhadap hasil OSCE pada Program Diploma Kebidanan Unpad. Pengambilan data dilakukan secara potong lintang.Sampel  berjumlah 60 orang yang ditetapkan dengan cara purposive sampling. Analisis data menggunakan Binary Logistic Regression.Hasil penelitian ini menunjukan bahwa daya nilai tidak berpengaruh signifikan terhadap hasil OSCE dengan nilai p value 0,067 (p > 0,05), harapan berpengaruh secara signifikan terhadap hasil OSCE dengan nilai p value 0,030 (p < 0,05), afektif berpengaruh secara signifikan terhadap hasil OSCE dengan nilai p value 0,012 (p < 0,05). Daya nilai, harapan dan afektif secara bersama-samaber pengaruh signifikan terhadap hasil OSCE dengan nilai p value 0,000  (p < 0,05). Kata Kunci : Afektif,  daya nilai, harapan dan hasil OSCE

PENGETAHUAN IBU NIFAS MENGENAI PENYEMBUHAN LUKA PERINEUM DENGAN MENGGUNAKAN MEDIA BOOKLET

ABSTRACT  Introduction: The Maternal Mortality Rate (MMR) in Indonesia occurs on postpartum due to bleeding and infection which is one of the causes is by perineal wound. Efforts to prevent infection from perineal wounds are necessary to increase maternal knowledge by providing health education using booklet media.  Pupose: This research aims to determine the effect of booklet media on knowledge of perineal wound healing in postpartum mothers in Sumedang Regional General Hospital. Method: This research uses Quasy Experiment method with non randomized control group pretest posttest design approach. The writer collects samples with Consecutive Sampling techniques.This research was conducted in July 2019 to 80 postpartum mothers in Sumedang Regional General Hospital. The study subjects consisted of 40 postpartum mothers in the experimental group and 40 postpartum mothers in the control group. The technique used to collect the data is questionnaire. The experimental group is given with lecture method and booklet media. The control group is given with only lecture method. The bivariate data analysis uses Paired TTest processed by Statistical Package for Social Sciences (SPSS) program. Results: The results of the research show that there is an increase in the knowledge of postpartum mothers before and after the media booklet is given (p=0.000) so that there get an influence from giving it to the knowledge of postpartum mothers in Sumedang Regional General Hospital (r=0.378). Conclusion: In this research, there is an influence from giving booklet media towards the knowledge of postpartum mothers about perineal wound healing in Sumedang Regional General Hospital. Suggestion For postpartum mothers who have perineal lacerations it is advisable to pay more attention to the factors that can affect wound healing in the perineum so that the healing process can run well and the mother does not experience infection. Mothers who have perineal lacerations so as not to get infections, can pay attention to nutrition that must be consumed, mobility and how to care for wounds that are good and right  Keywords: Booklet media, perineal wound healing, the knowledge of postpartum mothers.  ABSTRAK  Latar Belakang: Angka Kematian Ibu (AKI) di Indonesia sebesar 40% terjadi pada masa nifas akibat perdarahan dan infeksi, yang salah satunya disebabkan oleh luka perineum. Upaya untuk mencegah terjadinya infeksi dari luka perineum maka diperlukan upaya peningkatan pengetahuan ibu dengan memberikan pendidikan kesehatan menggunakan media booklet.  Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh media booklet terhadap pengetahuan mengenai penyembuhan luka perineum pada ibu nifas di RSUD Sumedang. Metode: Penelitian ini menggunakan metode Quasy Experiment dengan pendekatan non randomized control group pretest posttest design. Pengambilan sampel menggunakan teknik Counsecutive Sampling. Penelitian ini dilaksanakan pada bulan Juli 2019 pada ibu nifas sebanyak 80 orang di RSUD Sumedang. subjek penelitian terdiri dari 40 ibu nifas pada kelompok experiment dan 40 ibu nifas pada kelompok control. Pengumpulan data dilakukan dengan menggunakan kuesioner. Kelompok experiment diberikan metode ceramah dan media booklet. Kelompok control diberikan metode ceramah saja. Analisis data bivariate menggunakan uji Paired T-Test yang diolah dengan program program Statistic Package for Sosial Sciene (SPSS). Hasil: Hasil penelitian menunjukan bahwa terdapat peningkatan pengetahuan ibu nifas sebelum dan sesudah diberikan media booklet (p=0,000) sehingga didapatkan pengaruh dari pemberian media booklet terhadap pengetahuan ibu nifas di RSUD Sumedang (r=0,378). Kesimpulan: Pada penelitian ini terdapat pengaruh dari pemberian media booklet terhadap pengetahuan ibu nifas mengenai penyembuhan luka perineum di RSUD Sumedang. Saran Bagi ibu nifas yang memiliki luka robekan perineum disarankan agar lebih memperhatikan faktorfaktor yang dapat mempengaruhi penyembuhan luka pada perineum agar dalam proses penyembuhannya dapat berjalan dengan baik dan ibu tidak mengalami infeksi. Ibu yang memiliki luka robekan perineum agar tidak mengalami infeksi, dapat memperhatikan nutrisi yang harus di konsumsi, mobilitas dan cara perawatan luka yang baik dan benar  Kata Kunci: Media booklet, penyembuhan luka perineum, pengetahuan Ibu nifa

Relationship between Predisposing Factors and the Incidence of Contraceptive Dropout in West Java

The incidence of contraceptive dropout in West Java is still high. Analyzing the reasons would help to improve programs. This study explores the relationship between predisposing factors and the incidence of contraceptive dropout in West Java. The research was cross-sectional and conducted from August to December 2021, and the dataset came from Program Performance and Accountability Survey (Survei Kinerja dan Akuntabilitas Program, SKAP) 2019. The sample in the study were women of childbearing age 15–49 years with married status both ever and currently using contraception—a total of 338 samples with simple random sampling. This study used univariate, bivariate, and multiple logistic regression to analyze the discontinuation of contraception. A study has shown a relationship (p<0.05) between parity, education level, level of knowledge, and the incidence of contraceptive dropout. Furthermore, age and employment status did not affect them. In conclusion, a relationship exists between predisposing factors such as education, parity, knowledge, and contraceptive dropout. There is a need to emphasize the health promotion of contraception, especially for women of childbearing age with marital status, low education, fewer children than two, and inadequate knowledge level. In addition, contraceptive service standards should be implemented to prevent the incidence of contraceptive dropout

GAMBARAN PENGETAHUAN REMAJA MENGENAI KESEHATAN REPRODUKSI DI SMA NEGERI JATINANGOR

Remaja adalah suatu masa transisi dari masa anak-anak menjadi pribadi yang lebih dewasa, dimulai dari perubahan fisik, dan psikologis. Dan saat ini remaja tidak bisa terlepas dari masalah kesehatan reproduksi. Dengan maraknya kasus kesehatan reproduksi pada remaja ini BKKBN mendirikan program Pusat Informasi dan Konseling Kesehatan Reproduksi Remaja (PIK-KRR) dengan tujuan untuk meningkatkan kesadaran remaja baik pria maupun wanita terhadap kesehatan reproduksinya. Tujuan dilakukannya penelitian ini untuk mengetahui gambaran pengetahuan remaja mengenai kesehatan reproduksi di SMA Negeri Jatinangor.Metode dalam penelitian ini adalah deskriptif dengan Teknik pengambilan sampel menggunakan Stratified dan Purposive Sampling dengan besar sampel sebanyak 88 responden siswa/i di SMA Negeri Jatinangor dan analisis data menggunakan distribusi frekuensi untuk mengukur pengetahuan remaja. Jenis kelamin responden yang mengikuti penelitian ini jumlahnya sama banyak, dengan mayoritas responden remaja akhir yang berusia 16-19 tahun sebanyak 58 responden (65,9%). Pendidikan terakhir ayah responden mayoritas SMA/K sebanyak 25 responden (28,4%), sedangkan untuk pendidikan terakhir ibu responden SMA/SMK 39 responden (44,3%). Pekerjaan ayah responden mayoritas sebagai wiraswasta 31 responden (35,2%) Sedangkan, pekerjaan ibu mayoritas adalah Tidak bekerja/IRT 61 responden (69,3%). Seluruh responden (100%) tidak mengikuti Program PIK-KRR, mayoritas mendapatkan sumber informasi melalui teman sebayanya sebanyak 35 responden (39,7%). Pada tingkat pengetahuan diperoleh hasil tingkat pengetahuan siswa laki-laki mayoritas berpengetahuan cukup sebanyak 31 responden (68,9%) sedangkan pada siswi perempuan mayoritas berpengetahuan cukup sebanyak 23 (52,3%) responden.Tingkat pengetahuan remaja di SMA Negeri Jatinangor mengenai kesehatan reproduksi mayoritas adalah siswa/i yang berpengetahuan cukup.

PENGARUH PENDIDIKAN KESEHATAN DENGAN E-MAGAZINE TERHADAP PENGETAHUAN REMAJA PUTRI TENTANG PENCEGAHAN KANKER PAYUDARA

ABSTRACT  Background: Breast cancer is the common illness which often happens to womens, in developed or developing countries. West Java Province Health Profile in 2016 was found 912 breast cancer sufferers and one of them is Sumedang with positive breast lump tumors as much as 9.53%. Efforts to prevent breast cancer that can be done is health education regarding breast cancer given to adolescent girls.  Purpose: This research aim to determine the effect of providing health education about breast cancer prevention with e-magazine towards adolescent girls knowledge in SMAN Tanjungsari. Methods: This research used to a quasi experimental method with an approach pra eksperimental one group pre test-post test design. Sampling using techniques proportional sampling and simple random sampling, samples was 90 adolescent girls in SMAN Tanjungsari. The data is collected by questionnaire. The bivariate data analyzsis is used Paired Sample T-Test with the Statistical Package for Social Science (SPSS).  Results: The results of this research is showed there is an increased adolescent girls knowledge before and after health education with e-magazine (p = 0,009) and showed there is an influence from e-magazine to adolescent girls knowledge (r = 0,276).  Conclusion: There is an influence of e-magazine to the adolescent girls knowledge in SMAN Tanjungsari. Suggestion It is better for young women to better understand and pay attention to reproductive health from an early age and can make e-magazine as a reference and learning media to get health information about breast cancer prevention. Educators (teachers) can also work together with health workers and parents in order to provide appropriate health education to young women.  Keywords:  Adolescent Girl, Breast Cancer, E-Magazine, Health Education, Knowledge.  ABSTRAK  Latar Belakang: Kanker payudara merupakan kanker yang paling umum terjadi pada wanita, baik di negara maju maupun berkembang. Menurut Profil Kesehatan Provinsi Jawa Barat tahun 2016 terdapat penderita kanker payudara sebanyak 912 orang dan salah satunya Kabupaten Sumedang dengan positif tumor benjolan payudara sebanyak 9,53%. Upaya pencegahan kanker payudara dapat dilakukan dengan memberikan pendidikan kesehatan mengenai pencegahan kanker payudara pada remaja perempuan.  Tujuan: Tujuan penelitian ini untuk mengetahui pengaruh pemberian pendidikan kesehatan tentang pencegahan kanker payudara dengan e-magazine terhadap pengetahuan remaja putri di SMAN Tanjungsari. Metode: Penelitian ini menggunakan metode quasi eksperimental dengan pendekatan pra eksperimental one group pre test-post test design. Pengambilan sampel menggunakan teknik proportional sampling dan simple random sampling. Waktu penelitian ini dilaksanakan pada bulan Juli tahun 2019 dan  sampel berjumlah 90 remaja putri di SMAN Tanjungsari. Pengumpulan data dilakukan dengan menggunakan kuesioner. Analisis data bivariate menggunakan uji Paired Sample T-Test dengan program Statistical Package for Social Science (SPSS).  Hasil: Hasil penelitian ini menunjukkan bahwa terdapat peningkatan pengetahuan remaja putri sebelum dan sesudah diberikan pendidikan kesehatan dengan e-magazine (p = 0,009) dan terdapat pengaruh dari emagazine terhadap pengetahuan remaja putri (r = 0,276).  Kesimpulan: Pada penelitian ini terdapat pengaruh pemberian pendidikan kesehatan tentang pencegahan kanker payudara dengan e-magazine terhadap pengetahuan remaja putri di SMAN Tanjungsari. Saran Sebaiknya remaja putri dapat lebih memahami dan memperhatikan mengenai kesehatan reproduksi sejak dini serta dapat menjadikan e-magazine sebagai referensi dan media pembelajaran untuk mendapatkan informasi kesehatan mengenai pencegahan kanker payudara. Bagi tenaga pendidik (guru) juga dapat bekerja sama dengan tenaga kesehatan dan orangtua agar dapat memberikan pendidikan kesehatan yang tepat pada remaja putri.  Kata Kunci: Remaja Putri, Kanker Payudara , E-Magazine, Pendidikan Kesehatan, Pengetahuan