PERBEDAAN TINGKAT KECEMASAN IBU HAMIL PRIMIGRAVIDA DENGAN MULTIGRAVIDA DI ERA PANDEMI COVID-19 DI WILAYAH KABUPATEN KENDAL

 Anxiety that occurs in pregnant women is a serious problem because the mortality rate for pregnant women is 80% due to high anxiety. The emergence of anxiety due to influencing faktors, including internal faktors of pregnancy it self and external faktors due to the family environment and the environment outside the family. In developed countries the level of anxiety is around 7-20% and in developing countries more than 20%. The level of anxiety that occurs in primigravida pregnant women is greater than that of multigravida pregnant women, but in the era of the Covid-19 pandemic it can increase anxiety in pregnant women, especially those who are approaching childbirth process. The Objective of this research is there a difference in the level of anxiety between primary and multi-pregnant women in the era of Covid-19 pandemic.The design of this research uses crosscectional study, where between exposure and outcame is seen at the same time. The sampling method used accidental sampling, obtained a total of 72 respondents, consisting of 21 respondents with primigravida status and 51 respondents with multigravida status. The research analysis used the compare mean of independent sample t-test. The primigravida-pregnant women is more anxiety (57.1%) compared to multi-pregnant women (27.4%). There is a significant difference in the value of anxiety between primary and multi pregnant women in the trimester III in the era Covid-19 pandemic, (p value 0.003 0.05

FAKTOR YANG MEMPENGARUHI IBU DALAM KUNJUNGAN IMUNISASI PADA MASA PANDEMI COVID-19 DALAM PERSPEKTIF HEALTH BELIEF MODEL (HBM)

Pandemic Covid-19 has an impact on the implementation of health programs, especially immunization services and PD3I surveillance. Coverage of immunization at Kaliwungu health center is still low, especially polio (89.3%) compared to 23 other health centers in Semarang regency and immunization visits only 3.2% in March. The purpose of the study was to determine the factors that influenced immunization visits during the Covid-19 pandemic period based on the health belief model (HBM) theory at Kaliwungu health center. This research is observational analytic research with a maternal population who has a baby aged 1-12 months, a total of 370 people and a sample of 80 people. The results of the univariate analysis of the Chi Square test of vulnerability and high seriousness 51.2%, perception of cues to action high 58.8%, high benefit perception of 72.5%, high barrier perception of 46.3%, and active immunization visits 66.3%, Bivariate analysis of perception of vulnerability and seriousness (p value 0.001), perception of benefits (p value 0.009), perception of barriers (p value 0.009) and perception cues to action (p value 0.169). The conclusion of the study is that there is a relationship between the vulnerability and seriousness of the disease, benefits and obstacles with immunization visits. While the perception of cues to action has no relationship with immunization visits during the Pandemic Covid-19 period. Advice for health workers to improve information services and immunization health promotion during Covid-19

The Effectiveness of Feet Soak with Warm Water and Murottal Al-Qur'an to Reduce Blood Pressure In Hypertensive Patients

Background: hypertension is a public health problem that is often found in developed and developing countries. There have been many managements of hypertension using non-pharmacological therapy because of their few side effects. Moreover, using more than one therapy in several studies has proven effective.Purpose: to determine the effectiveness of feet soak with warm water and murottal Al-Qur'an to reduce blood pressure in hypertensive patients.Methods: this study used Quasy Experiments with Nonequivalent Control Group Design. These samples were 36 respondents. The sampling technique used purposive sampling and the tests used Paired Sample T-Test and Independent Sample T-Test.Results: the results showed that blood pressure before being given combination therapy with feet soak and murottal Al-Qur'an, showed average value 152.33 (systolic) and 94.17 (diastolic), while after being given combination therapy, the average value becomes 135.17 (systolic) and 81.11 (diastolic) means it has decreased with p value = 0.0000.05. In control group, there was no decreased change in diastolic blood pressure (p = 0.100).Conclusion: the combination of feet soak therapy and murrotal Al-Qur'an is effective in reducing systolic and diastolic blood pressure in hypertensive patients. This combination therapy can be applied easily using standard operating procedures that have been made in this study

GAMBARAN KONSELING YANG DIPEROLEH PADA KUNJUNGAN NIFAS KE-4 DI WILAYAH KERJA PUSKESMAS ROWOSARI 1 KABUPATEN KENDAL

The postpartum period is a transition period for the mother, baby and family physiologically, emotionally and socially. The low quality of health services can lead to low success in health promotion and early detection and adequate management of problems from diseases that arise in the postpartum period. The aim of the study was to described the counseling obtained by postpartum mother at the fourth postpartum visit. This study uses a descriptive method, with a survey approach. The population was all post-partum mothers who received the fourth postpartum attendance in the area in Public Health Care of Rowosari 0I. The number of samples was 34 respondents. The sampling technique used saturated samples. The results showed that the counseling was obtained at the fourth postpartum visit was still based on the complication history of the puerperium period which was still not good (76.47%), and based on family planning counseling that was still not good (79.41%). The midwives should assessing the mother complications and providing family planning counselin

INISIASI POS PEMBINAAN TERPADU DALAM PENCEGAHAN PENYAKIT TIDAK MENULAR

Abstrak: Posbindu PTM merupakan salah satu upaya kesehatan berbasis masyarakat yang bersifat promotif dan preventif dalam rangka deteksi dini dan pemantauan faktor risiko PTM Utama yang dilaksanakan secara terpadu, rutin, dan periodik. Masyarakat diberi fasilitas dan bimbingan dalam mengembangkan wadah untuk berperan, dibekali pengetahuan . Bentuk pengabdian berupa pelatihan pada kader baru posbindu yang ditargetkan 15 orang di Kelurahan Gedawang. Kemudian dilakukan pemeriksaan faktor risiko PTM. Pelaksanaan pengabdian masyarakat mengacu pada pedoman penyelenggaraan posbindu PTM. Tahap pelaksanaan kegiatan meliputi perencanaan kegiatan, pelaksanaan kegiatan dan evaluasi kegiatan. Telah terbentuk Posbindu di Kelurahan Gedawang. Kegiatan pelatihan hanya diikuti oleh 10 orang kader. Hasil pre dan posttest menunjukan peningkatan nilai rata-rata dari 34 menjadi 81 dan proporsi nilai 8 keatas meningkat. Kegiatan pelatihan pada kader diharapkan dapat dilakukan secara berkala oleh Dinkes dan pihak Puskesmas dapat memberikan tindak lanjut pada masyarakat yang terjaring memiliki faktor risiko PTM. Untuk posbindu PTM, jumlah partisipan yang dating berjumlah 20 orang. Didapatkan berdasarkan ahsil pemerikasaan IMT melebihi nilai normal, 67% tekanan darah tinggi, 87% kolesterol tinggi. Kurang dari 50% partisipan punya kebiasaan olahraga, konsumsi makanan asin, berlemak dan manis. Kegiatan pelatihan pada akder diharapkan dapat dilakukan secara berkala oleh Dinkes dan pihak Puskesmas dapat memberikan tindak lanjut pada masyarakat yang terjaring memiliki faktor risiko PTM.Abstract: Posbindu NCD is one of the community-based health efforts that are promotive and preventive in the context of early detection and monitoring of the main NCD risk factors which are carried out in an integrated, routine and periodic manner. Communities are given facilities and guidance in developing platforms to play a role, equipped with knowledge. The form of service is in the form of training for new posbindu cadres targeted at 15 people in the Gedawang Village. Then an examination of NCD risk factors is carried out. The implementation of community service refers to the guidelines for the implementation of Posbindu NCD. The activity implementation phase includes activity planning, activity implementation and activity evaluation. Posbindu has been formed in Gedawang Village. Only 10 cadres participated in the training activities. The results of the pre and posttest showed an increase in the average score from 34 to 81 and the proportion of scores above 8 increased. Training activities for cadres are expected to be carried out periodically by the Health Office and the Puskesmas to provide follow-up to people who are caught having NCD risk factors. For Posbindu NCD, the number of participants who came was 20 people. Obtained based on BMI examination results exceeding normal values, 67% high blood pressure, 87% high cholesterol. Less than 50% of participants have a habit of exercising, consuming salty, fatty and sweet foods. It is hoped that the training activities for akder can be carried out periodically by the Health Office and the Puskesmas to provide follow-up to people who are caught having NCD risk factors

GAMBARAN TINGKAT PENGETAHUAN IBU NIFAS TENTANG NUTRISI MASA NIFAS DI WILAYAH PUSKESMAS RINGINARUM KABUPATEN KENDAL TAHUN 2013

Masa Nifas dimulai setelah plasenta lahir berakhir ketika alat kandungan kembali sepertikeadaan sebelum hamil. Kebutuhan gizi seimbang sangatlah penting bagi ibu pada masanifasi. Berdasarkan studi pendahuluan pada Maret 2013 di wilayah Puskesmas Ringinarumterhadap 10 ibu nifas terdapat 8 orang tidak tahu tentang nutrisi masa nifas dan terdapat 2orang sudah mengetahuinya.Penelitian menggunakan jenis penelitian deskriptif denganpendekatan survey populasi dalam penelitian ini yaitu seluruh ibu nifas (0-40 hari) berjumlah52. Sampel yang digunakan adalah 52 responden dengan menggunakan teknik TotalSampling. Penelitian dilaksanakan di Wilayah Puskesmas Ringinarum Kabupaten Kendaldengan waktu penelitian bulan April sampai September 2013.Berdasarkan hasil penelitiandari 52 responden diperoleh bahwa responden pengetahuan baik sebanyak 35 orang (67,3).Kesimpulannya adalah Sebagian besar responden pengetahuan ibu nifas tentang nutrisi padamasa nifas adalah baik sebanyak 35 responden (67,3%). Saran untuk petugas kesehatanuntuk bisa memberikan informasi tentang nutrisi pada ibu nifas agar ibu nifas tidak melakukanpantang makana

HUBUNGAN PAPARAN ASAP ROKOK TERHADAP KEJADIAN KETUBAN PECAH DINI DI PUSKESMAS RINGINARUM KABUPATEN KENDAL

Premature rupture of membranes is fluid discharge from the birth canal before the onset of labor. One risk factor is a decrease in ascorbic acid which results in abnormal structural growth. Preliminary survey results in Dr. H. Soewondo Kendal in 2013 there were 379 women giving birth with premature rupture of membranes. The purpose of this study was to determine the description of exposure to cigarette smoke in maternal with the occurrence of premature rupture of membranes in Dr. H. Soewondo Kendal. The design of this study is analytical research with cross-sectional study. The population was taken from parturient mother in RSUD Dr. H. Soewondo Kendal in May-June 2014 as many as 78 birth mothers consisting of 39 mothers with Premature rupture of membranes and 39 with no Premature rupture of membranes delivery. The sampling technique uses accidental sampling. Data collection using checklists and questionnaires. The results were obtained by 29 pregnant women (74.4%) with Premature rupture of membranes exposed to cigarette smoke and 10 people (29.4%) exposed to Premature rupture of membranes. While 15 respondents (34.1%) were not exposed to cigarette smoke and 24 (70.6%) were not exposed to cigarette smoke. Bivariate analysis results showed a p-value of 0.003 α-0.05. The conclusion is that there is a significant relationship between the incidence of Premature rupture of membranes in pregnant women with cigarette smoke exposure. Advice for midwives is to give advice to every pregnant woman to avoid cigarette smoke and provide quick and appropriate assistance to mothers who give birth with premature rupture of membranes so that it will reduce the danger of infection

HUBUNGAN ANTARA PENGETAHUAN DENGAN KEIKUTSERTAAN KEPALA KELUARGA PASANGAN USIA SUBUR (PUS) DALAM PROGRAM BPJS KESEHATAN DI DESA BEJEN KECAMATAN BEJEN KABUPATEN TEMANGGUNG

Pemerintah mengharapkan masyarakat Indonesia sehat mandiri. Untuk mengatasi berbagai masalah kesehatan dan untuk mewujudkan program MDGs maka salah satu upaya pemerintah adalah menyelenggarakan program BPJS. AdanyaJaminan Persalinan pada program sebelumnya menjadikan masyarakat merasa keberatan untuk membayar iuran BPJS. Tujuan penelitian ini adalahuntuk mengetahui hubungan pengetahuan dengan keikutsertaan kepala keluarga pasangan usia subur dalam program BPJS kesehatan di Desa Bejen Kecamatan Bejen Kabupaten Temanggung.Penelitian ini menggunakan survey analitik. Populasi pada penelitian ini adalah kepala keluarga pasangan usia subur di Desa Bejen Kecamatan Bejen Kabupaten Temanggung yang berjumlah 838 KK dan sampel penelitian 89 KK dengan menggunakan purposive sampling dan quota sampling.Hasil penelitian ada hubungan antara pengetahuan dengan keikutsertaan responden dalam program BPJS Kesehatan. pengetahuan responden baik 48 (100,0%) dengan 46 (95,8%) mengikuti dan 2 (4,2%) responden tidak mengikuti program BPJS Kesehatan. Cukup baik sebanyak 36 (100,0%) dan tidak mengikuti program BPJS Kesehatan. Tidak ada responden yang pengetahuannya tidak baik.Disarankan masyarakat aktif mencari tahu dan mengikuti penyuluhan tentang program BPJS Kesehatan. Masyarakat yang telah mengetahui dan mengikuti program BPJS  Kesehatan dapat memberikan pegetahuan kepada masyarakat lain sehingga pengetahuan tentang BPJS Kesehatan dapat menyebar luas dan keikutsertaan bertambah. Kata Kunci : Pengetahuan, Keikutsertaan, BPJS  Kesehata

PELATIHAN APLIKASI eHDW BAGI KADER DALAM PROGRAM KONVERGENSI PERCEPATAN DAN PENCEGAHAN STUNTING

Indonesia merupakan salah satu negara dengan double burden atau masalah gizi ganda, yang ditandai dengan tingginya prevalensi stunting dan kasus anemia pada ibu hamil. Riskesdas tahun 2018 menunjukkan prevalensi balita stunting di Indonesia sebesar 30,8%, dan termasuk pada kategori masalah stunting yang tinggi. Stunting adalah kondisi gagal tumbuh pada anak-anak balita (bayi di bawah lima tahun) akibat kekurangan gizi. Kader Pembangunan Manusia (KPM) adalah kader terpilih yang mempunyai kepedulian dalam pembangunan manusia di desa, terutama monitoring dan fasilitasi konvergensi penanganan stunting dengan salah satu tugas yaitu memfasilitasi pengukuran Panjang/tinggi badan balita sebagai deteksi stunting. Aplikasi e_HDW ditujukan untuk membantu KPM dalam melakukan pengkajian data sebagai upaya deteksi dini risiko stunting di desa sehingga dapat segera dilakukan identifikasi dan tindakan pencegahan terhadap dampak stunting baik jangka pendek maupun jangka panjang. Tujuan pengabdian masyarakat ini agar KPM mampu menggunakan aplikasi eHDW untuk deteksi dini stunting di desa.  Metode yang digunakan adalah memberikan pelatihan penggunaan aplikasi eHDW. Evaluasi kegiatan pelatihan ini adalah peserta latih mampu melakukan pengisian data stunting desa melalui aplikasi eHDW

Pelayanan Kesehatan Pada Korban Banjir Sebagai Upaya Rehabilitasi Pasca Bencana

Indonesia adalah salah satu kawasan rawan bencana banjir, hal ini ditinjau dari karakteristik geografis dan geologis wilayah. Banjir merupakan bencana yang bersifat hidrometeorologis yang kejadiannya sering terjadi di Indonesia Bencana Banjir terjadi di Dusun Karanggantung, Desa Sojomerto Kecamatan Gemuh, Kabupaten Kendal akibat curah hujan yang tinggi. Hal ini menimbulkan dampak pada masyarakat termasuk ibu hamil, anak -anak dan perempuan. Kegiatan pengabdian ini merupakan rehabilitasi pasca bencana dengan melakukan pelayanan kesehatan yang diberikan kepada Ibu hamil, anak balita dan Wanita Usia Subur (WUS). Bencana tersebut memberikan dampak pada korban kelompok rentan Ibu dan anak, sehingga memerlukan penanganan dan pemulihan baik secara fisik maupun psikis. Metode yang dilakukan dengan pendampingan melalui pemeriksaan dan penyuluhan pada ibu hamil, bermain dengan alat permainan edukatif, edukasi cara cuci tangan yang benar pada anak – anak dan pelayanan kontrasepsi pada wanita usia subur