HUBUNGAN FAKTOR RISIKO DENGAN LESI PRAKANKER SERVIKS DI PUSKESMAS SEGERONGAN LOMBOK BARAT

Kanker serviks adalah kanker kedua yang paling umum terjadi pada wanita yang tinggal di daerah kurang berkembang. Penelitian ini bertujuan untuk mengetahui hubungan faktor risiko dengan lesi prakanker serviks. Penelitian ini menggunakan desain studi cross sectional. Sampel adalah akseptor KB yang melakukan deteksi dini kanker serviks di Puskesmas Segerongan Lombok Barat. Sampel sebanyak 64 orang dipilih secara purposif. Data dianalisis dengan menggunakan uji chi-square. Hasil penelitian menunjukkan usia pertama kawin, sirkumsisi pasangan, kontrasepsi hormon, status ekonomi, dan riwayat kanker tidak memiki hubungan yang signifikan dengan lesi prakanker serviks (P > 0,05). Usia pertama kawin memiliki risiko 1,2 kali (OR 1,200), sirkumsisi pada pasangan memiliki risiko 0,9 kali (OR 0,952), kontrasepsi  memiliki risiko 1,5 kali (OR 1,589),  status ekonomi memiliki risiko 1,7 kali (OR 1,731), dan riwayat kanker pada keluarga memiliki risiko 1,5 kali (OR 1,564) terhadap lesi prakanker serviks. Pemeriksaan Papanicolau digunakan sebagai standar, namun sensitifitas pemeriksaan Inspeksi Visual Asam Asetat memiliki hasil cukup baik

PENYULUHAN CARA MELAKUKAN “SADARI” PADA REMAJA PUTRI DI DUSUN PUNGKA KECAMATAN UNTER IWES

Salah satu penyakit kanker yang lebih banyak terjadi pada wanita adalah kanker payudara yang merupakan tumor ganas yang tumbuh dalam jaringan payudara yang meliputi kelenjar, saluran, jaringan lemak maupun jaringan ikat pada payudara. SADARI merupakan deteksi dini kanker payudara yang paling banyak dianjurkan bagi setiap wanita. Adapun tujuan pengabdian ini yaitu memberikan wawasan tentang SADARI di Dusun Pungka Kecamatan Unter Iwes Kabupaten Sumbawa. Kegiatan pengabdian ini dilaksanakan pada Selasa 15 Juni 2021 dengan peserta kegiatan berjumlah 10 remaja putri yang bertempat tinggal di Dusun Pungka. Metode penyuluhan dilakukan dengan ceramah dan tanya jawab. Hasil kegiatan pengabdian menunjukkan sebagian remaja putri mampu menjelaskan tentang SADARI

Path Analysis on Life Course Factors Affecting Overweight and Obesity in Children Aged 2 to 5 Years Old in Surakarta

Background: Globally, prevalence of obesity in children under 5 years old has been increasing from 32 million in 1990 to 42 million in 2014. Indonesia ranks highest in the number of obesity cases in South East Asia with prevalence of 11.5% in 2013. However, child overweight and obesity have not been the focus of health problems in Indonesia. Early intervention and prevention of child obesity can reduce long-term risk of chronic diseases in adulthood. This study aimed to analyze the life course factors affecting overweight and obesity in children aged 2 to 5 years old in Surakarta.Subjects and Method: This was an analytic observational study with case control design. The study was conducted in 5 community health centers, Surakarta, from September to October, 2017. A total sample of 150 children aged 2 to 5 years old was selected using fixed disease sampling. The dependent variable was overweight or obesity. The independent variables were nutrition intake, exclusive breastfeeding, starting age of complementary feeding, physical activity, birthweight, age of gestation, sectio cesarea labor, maternal body mass index, and maternal job. Physical activity data was measured using Pre PAQ questionnaire. Other data were collected using a set of questionnaire and maternal and child health monitoring book. The data were analyzed by path analysis.Results: Overweight and obesity in children aged 2 to 5 years old were positively affected by over nutrition intake (b= 1.9; 95% CI= 0.15 to 3.60; p=0.033), high maternal body mass index (b= 2.0; 95% CI= 0.51 to 3.42; p=0.008), and sectio cesarean birth (b= 2.1; 95% CI= 0.56 to 3.73; p=0.008). Overweight and obesity in children aged 2 to 5 years old were negatively affected by normal birthweight (b= -2.2; 95% CI=  -4.28 to -0.19; p=0.032), exclusive breastfeeding (b= -2.0; 95% CI= -3.60 to -0.39; p=0.015), timely starting age of complementary feeding (b= -1.3; 95% CI= -2.80 to 0.11; p=0.072), and high physical activity (b= -3.0; 95% CI= -4.63 to -1.37; p=0.001). Birthweight was positively affected by age of gestation (b= 4.2; 95% CI= 1.99 to 6.32; p=0.001) and was negatively affected by maternal body mass index (b= -1.1; 95% CI= -2.11 to -0.13; p=0.025). Exclusive breastfeeding was negatively affected by working outside the house (b= -1.4; 95% CI= -2.10 to -0.72; p= 0.001).Conclusion: Overweight and obesity in children aged 2 to 5 years old are positively affected by over nutrition intake, high maternal body mass index, and sectio cesarean birth. Overweight and obesity in children aged 2 to 5 years old are negatively affected by normal birthweight, exclusive breastfeeding, timely starting age of complementary feeding, and  high physical activity.Keyword: life course factors, overweight, obesity, path analysis.Correspondence: Uyunun Nudhira. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: +6285253781714Journal of Epidemiology and Public Health (2017), 2(3): 267-283https://doi.org/10.26911/jepublichealth.2017.02.03.08Â

HUBUNGAN TINGKAT PENGETAHUAN DENGAN APLIKASI PENGISIAN PARTOGRAF OLEH MAHASISWI TINGKAT II PROGRAM STUDI DIII KEBIDANAN DI UNIVERSITAS MUHAMMADIYAH MATARAM

Sebagian besar kematian ibu dapat dicegah dengan meningkatkan pengetahuan dan keterampilan petugas kesehatan dalam menolong persalinan, seperti penggunaan partograf. Tujuan penelitian adalah Menganalisa hubungan antara pengetahuan dengan aplikasi pengisian partograf oleh mahasiswi tingkat II program studi DIII kebidanan di Universitas Muhammadiyah Mataram. Desain penelitian ini menggunakan metode survey analitik. Pada penelitian ini menggunakan data primer yang berupa pengetahuan mahasiswa tentang partograf dengan aplikasi pengisian partograf dengan teknik observasi dengan alat bantu kuisioner, sedangkan data sekunder berupa data umum tentang tempat penelitian. Hasil penelitian menunjukkan bahwa secara umum tingkat pengetahuan responden adalah kurang (5,4%) dan cukup (27,0%) dan berada pada kategori tidak bisa (40,5%) namun dari 37 responden (67,7%) dengan pengetahuan baik memiliki kategori tidak bisa 5 orang. Uji korelasi chi square menyatakan nilai significancy-nya p = 0,001 (p<0,05) sehingga Ho ditolak dan Ha diterima yang berarti ada korelasi yang signifikan antara kedua variabel. Berdasarkan hasil penelitian dapat disimpulkan bahwa ada hubungan antara pengetahuan mahasiswa tentang partograf dengan aplikasi pengisian partograf. Sehingga dapat digunakan sebagai bahan evaluasi dalam upaya meningkatkan pengetahuan dan aplikasi pengisian partograf oleh mahasiswa

HUBUNGAN TINGKAT PENGETAHUAN DAN KETERAMPILAN DENGAN APLIKASI PENGISIAN PARTOGRAF OLEH MAHASISWA TINGKAT II SEMESTER IV KEBIDANAN WIRA HUSADA NUSANTARA MALANG INDONESIA

Abstract Partograf is very important monitoring for maternal labour. Most of pregnant, maternity and childbirth mortality can be prevented with monitoring partograf. This aims of this study to identify correlation between knowledge and skill midwefery student with partograf aplication.This research method is analytical survey, cross sectional study with porposive sampling 33 students.  The analytical method used in this research is multiple linear regression. The results showed that the level of knowledge and skills together affect with applications partograf obtained FValue = 228.213> F table = 3.32. squared multiple correlation R² is now equal to 0.938 (93.8%), and all of the variables are significant by the t tests As for the effect of each variable. Independently is a value Thitung level of knowledge (X1) = 3.100> Ttabel = 2.042 and Thitung skills (X2) = 5.787> Ttabel = 2.042. From the results of the independent variables are known Tvalue most dominant influence is a skill (X2) it can be seen from Tvalue> Ttabel other variables.knowledge and skill influancing with partograf aplication. From the results of the independent variables are known Tvalue most dominant influence is a skill (X2) it can be seen from Tvalue> Ttabel other variables. Key word: Knowledge, Skills, Filling Partogra

Life Course Perspective of the Factors Affecting Overweight and Obesity in Children Under Five: A Path Analysis Evidence from Surakarta

Background: Obesity is a public health problem that has raised concern worldwide. According to the World Health Organization, there will be about 2.3 billion overweight people aged 15 years and above, and over 700 million obese people worldwide in 2015. Being overweight or obese in childhood can contributes to numerous health conditions in adulthood including: hypertension, high LDL cholesterol, low HDL cholesterol or high levels of triglycerides, type 2 diabetes, coronary heart disease, and stroke. This study aimed to analyze the life course factors affecting overweight and obesity in children aged 2 to 5 years old in Surakarta, Central Java. Subjects and Method: This was a case control study was conducted in 5 community health centers, Surakarta, Central Java, from September to October 2017. A sample of 150 children aged 2 to 5 years old was selected for this study by fixed disease sampling. The dependent variable was overweight or obesity. The independent variables were nutrition intake, exclusive breastfeeding, starting age of complementary feeding, physical activity, birthweight, age of gestation, sectio cesarea labor, maternal body mass index, and maternal job. Physical activity data was measured using Pre PAQ questionnaire. Other data were collected using a set of questionnaire and maternal and child health monitoring book. The data were analyzed by path analysis. Results: Overweight and obesity in children aged 2 to 5 years old were positively affected by over nutrition intake (b= 1.9; 95% CI= 0.15 to 3.60; p= 0.033), high maternal body mass index (b= 2.0; 95% CI= 0.51 to 3.42; p= 0.008), and sectio cesarean birth (b= 2.1; 95% CI= 0.56 to 3.73; p= 0.008). Overweight and obesity in children aged 2 to 5 years old were negatively affected by normal birthweight (b= -2.2; 95% CI= -4.28 to -0.19; p= 0.032), exclusive breastfeeding (b= -2.0; 95% CI= -3.60 to -0.39; p=0.015), timely starting age of complementary feeding (b= -1.3; 95% CI= -2.80 to 0.11; p=0.072), and high physical activity (b= -3.0; 95% CI= -4.63 to -1.37; p= 0.001). Overweight and obesity in children aged 2 to 5 years old were indirectly affected by age of gestation and working outside the house. Conclusion: Overweight and obesity in children aged 2 to 5 years old are positively affected by over nutrition intake, high maternal body mass index, and sectio cesarean birth. Overweight and obesity in children aged 2 to 5 years old are negatively affected by normal birthweight, exclusive breastfeeding, timely starting age of complementary feeding, and high physical activity. Keywords: life course factors, overweight, obesity, path analysis

Path Analysis on Life Course Factors Affecting Overweight and Obesity in Children Aged 2 to 5 Years Old in Surakarta

Background: Globally, prevalence of obesity in children under 5 years old has been increasing from 32 million in 1990 to 42 million in 2014. Indonesia ranks highest in the number of obesity cases in South East Asia with prevalence of 11.5% in 2013. However, child overweight and obesity have not been the focus of health problems in Indonesia. Early intervention and prevention of child obesity can reduce long-term risk of chronic diseases in adulthood. This study aimed to analyze the life course factors affecting overweight and obesity in children aged 2 to 5 years old in Surakarta.Subjects and Method: This was an analytic observational study with case control design. The study was conducted in 5 community health centers, Surakarta, from September to October, 2017. A total sample of 150 children aged 2 to 5 years old was selected using fixed disease sampling. The dependent variable was overweight or obesity. The independent variables were nutrition intake, exclusive breastfeeding, starting age of complementary feeding, physical activity, birthweight, age of gestation, sectio cesarea labor, maternal body mass index, and maternal job. Physical activity data was measured using Pre PAQ questionnaire. Other data were collected using a set of questionnaire and maternal and child health monitoring book. The data were analyzed by path analysis.Results: Overweight and obesity in children aged 2 to 5 years old were positively affected by over nutrition intake (b= 1.9; 95% CI= 0.15 to 3.60; p=0.033), high maternal body mass index (b= 2.0; 95% CI= 0.51 to 3.42; p=0.008), and sectio cesarean birth (b= 2.1; 95% CI= 0.56 to 3.73; p=0.008). Overweight and obesity in children aged 2 to 5 years old were negatively affected by normal birthweight (b= -2.2; 95% CI= -4.28 to -0.19; p=0.032), exclusive breastfeeding (b= -2.0; 95% CI= -3.60 to -0.39; p=0.015), timely starting age of complementary feeding (b= -1.3; 95% CI= -2.80 to 0.11; p=0.072), and high physical activity (b= -3.0; 95% CI= -4.63 to -1.37; p=0.001). Birthweight was positively affected by age of gestation (b= 4.2; 95% CI= 1.99 to 6.32; p=0.001) and was negatively affected by maternal body mass index (b= -1.1; 95% CI= -2.11 to -0.13; p=0.025). Exclusive breastfeeding was negatively affected by working outside the house (b= -1.4; 95% CI= -2.10 to -0.72; p= 0.001).Conclusion: Overweight and obesity in children aged 2 to 5 years old are positively affected by over nutrition intake, high maternal body mass index, and sectio cesarean birth. Overweight and obesity in children aged 2 to 5 years old are negatively affected by normal birthweight, exclusive breastfeeding, timely starting age of complementary feeding, and high physical activity.Keyword: life course factors, overweight, obesity, path analysis.Correspondence: Uyunun Nudhira. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: +6285253781714Journal of Epidemiology and Public Health (2017), 2(3): 267-283https://doi.org/10.26911/jepublichealth.2017.02.03.0

GAMBARAN PERILAKU HIDUP BERSIH DAN SEHAT PADA MASA PANDEMI COVID-19 SISWA KELAS VII DI SMP N 1 MOYO UTARA

COVID-19 menyebabkan penyakit yang menyerang sistem pernapasan pada manusia. Virus ini telah menginfeksi jutaan orang sehingga menyebabkan angka kematian yang tinggi bagi penderitannya di seluruh dunia. Penelitian ini bertujuan untuk mengetahui gambaran pengetahuan dan pemahaman siswa mengenai pandemi COVID-19 dan penerapan perilaku hidup bersih dan sehat sebagai upaya mencegah penularan COVID-19 penting untuk diterapkan. Penelitian ini merupakan jenis penelitian deskriptif analitik dengan rancang bangun cross sectional. Penelitian telah dilaksanakan pada bulan April- Mei 2021, dengan populasi 40 orang dan sampel adalah 35 orang diperoleh melalui perhitungan rumus simple random sampling. Pengumpulan data dilakukan menggunakan kuesioner. Hasil Penelitian menunjukkan mayoritas pengetahuan responden memiliki PHBS terhadap makanan dan minuman berada pada kategori baik yaitu sebanyak 34 responden (97,1%), PHBS terhadap diri sendiri berada pada kategori baik 25 (71,4%), PHBS terhadap lingkungan cukup 23 (65,7%), PHBS terhadap sakit dan penyakit cukup 26 (74,3%), PHBS terhadap kebiasaan yang merusak tubuh 19 (54,3%). Oleh karena itu, penelitian ini diharapkan dapat menjadi dasar untuk program pengembangan program PHBS, perilaku hidup bersih dan sehat pada anak sekolah pada masa pandemi masih perlu upaya promotif dan menyediakan sarana dan prasarana yang diperlukan

Pendidikan Kesehatan dan Pelatihan Pijat Bayi dan Balita sebagai Bentuk Stimulasi untuk Meningkatkan Pertumbuhan dan Perkembangan Anak

Latar Belakang : Masa lima tahun pertama kehidupan merupakan suatu periode emas pertumbuhan dan perkembangan anak. Peran orangtua dalam masa ini sangat penting dalam mendukung dan menstimulasi tumbuh kembang anak. Salah satu cara membantu proses pertumbuhan dan perkembangan serta sebagai bonding attachment antara ibu dan anak adalah dengan melakukan pijat pada bayi dan Balita merupakan pelayanan komplementer kebidanan yang dikenal sebagai terapi sentuhan tertua telah dikenal memiliki manfaat yang banyak terhadap pertumbuhan dan perkembanagan anak. Pengabdian ini dilakukan untuk membantu ibu agar dapat melakukan pijat bayi dan Balita secara mandiri. Metode : Pengabdian ini dilaksanakan di desa Pungka Kecamatan Unter Iwes pada hari Selasa 15 Desember 2020 dengan diikuti 19 peserta. Metode yang digunakan dengan cara memberikan komunikasi informasi edukasi, tentang pijat bayi dan Balita, kemudian dilanjutkan dengan mempraktikkan metode pijat bayi dan Balita secara langsung kepada ibu dan kader di desa Pungka.&nbsp; &nbsp; Hasil: Dari pengabdian yang dilakukan Ibu-ibu antusias melakukan tanya jawab, memahami dan mampu menjelaskan serta mempraktikkan kembali manfaat dari pijat bayi dan Balita, kapan harus dilakukan dan praktik pijat bayi dan Balita