DESAIN KURIKULUM PELATIHAN ASUHAN KEBIDANAN BERKELANJUTAN BERBASIS APLIKASI iPOSYANDU

Target Sustainable Development Goals (SDGs) pada penurunan Angka Kematian Ibu belum tercapai, sehingga secara tidak langsung dibutuhkan peningkatan kompetensi bidan melalui pelatihan. Akan tetapi, kompetensi yang diperoleh bidan setelah pelatihan kurang optimal sehingga perlu dikembangkan desain kurikulum pelatihan asuhan kebidanan berkelanjutan. Penelitian ini bertujuan untuk menganalisis kompetensi asuhan kebidanan berkelanjutan, strategi, materi, media, dan evaluasi pembelajaran sebagai aspek penting untuk menyusun, mengevaluasi kelayakan, dan menganalisis keefektifan desain, serta diseminasi kurikulum pelatihan asuhan kebidanan berkelanjutan berbasis aplikasi iPosyandu. Penelitian ini menggunakan pendekatan Design and Development Research yang dilakukan pada bulan Agustus 2021 s.d Mei 2022. Tahap analisis situasi dilakukan wawancara (5 bidan) di Indonesia dan analisis kebutuhan kompetensi asuhan kebidanan berkelanjutan dengan memberikan kuesioner (371 bidan) dan Focus Group Discussion (FGD) untuk pengembangan aplikasi iPosyandu (20 bidan) kepada bidan di Provinsi Jawa Barat. Tahap desain dan pengembangan kurikulum pelatihan asuhan kebidanan berkelanjutan berbasis aplikasi iPosyandu dilakukan uji kelayakan oleh pakar (metode Delphi Survey). Tahap uji coba desain kurikulum pelatihan dengan melaksanakan pelatihan di wilayah kerja Dinas Kesehatan Kab. Purwakarta (30 bidan). Tahap diseminasi dilakukan kepada para bidan, mahasiswa kebidanan, dan berbagai pihak terkait. Hasil penelitian menunjukkan bahwa bidan membutuhkan kompetensi asuhan kebidanan berkelanjutan (86%). Kebutuhan kompetensi berdasarkan karakteristik bidan bahwa terdapat perbedaan antara kompetensi dengan usia, status kepegawaian, dan tempat kerja (p-value0.005). Selain itu, tidak terdapat perbedaan antara lama dan tujuan penggunaan smartphone (p-value<0.005). Pada aspek kurikulum pelatihan terdapat korelasi yang signifikan antara strategi pembelajaran, materi pembelajaran, dan media pembelajaran dengan evaluasi pembelajaran (p-value<0.005). Pada uji Pearson, menunjukkan adanya korelasi yang kuat antara strategi pembelajaran dan materi pelatihan dengan evaluasi pembelajaran (nilai r=0.60-0.80). Korelasi sedang antara media dan evaluasi pembelajaran (nilai r=0.40-0.60). Hasil penelitian kualitatif mengenai pengembangan aplikasi iPosyandu ditemukan tema mengenai inisiasi, tujuan, manfaat, menu (aplikasi, data, edukasi, komunikasi (telemidwifery), pelatihan), dan icon aplikasi iPosyandu. Desain kurikulum pelatihan asuhan kebidanan berkelanjutan dinilai layak oleh pakar untuk dilakukan uji coba, dengan hasil dapat meningkatkan pengetahuan dan keterampilan bidan pada asuhan kebidanan berkelanjutan (p-value<0.005). Diseminasi kurikulum dilakukan melalui sosialisasi secara virtual kepada dinas kesehatan kabupaten di Jawa Barat, institusi pendidikan, dan memberikan panduan prosedur pelatihan kepada UPTD Pelatihan Kesehatan di Jawa Barat. Peningkatan kompetensi bidan melalui pelatihan asuhan kebidanan berkelanjutan berbasis aplikasi iPosyandu dapat mendukung pencapaian tujuan SDGs no.3. Kata kunci: aplikasi iPosyandu, asuhan kebidanan berkelanjutan, desain kurikulum, pelatihan The target of Sustainable Development Goals (SDGs) on reducing the Maternal Mortality Rate has not been achieved, yet, which indirectly requires the improvement of midwives’ competency through training. However, the training has not reached the expected result which inspired to develop a curriculum design for sustainable midwifery care training. The study aims to analyze the competencies, strategies, materials, media, and learning evaluation of the midwifery continuity of care as the important aspects to develop, evaluate feasibility, and analyze the design effectiveness and to disseminate the iPosyandu application of midwifery continuity of care training curriculum. The method used in this study was Design and Development Research (DDR). The research was conducted from August 2021 to May 2022. The situation analysis phase was conducted by interviewing 5 midwives in Indonesia and analyzing the competency needs for midwifery continuity of care by giving questionnaires to 371 midwives and conducting the Focus Group Discussion (FGD) to develop the iPosyandu application for 20 midwives in West Java Province. The design and development phase of the iPosyandu application-based midwifery continuity of care training curriculum was having the feasibility test by experts (using the Delphi Survey method). The trial phase of the training curriculum design was carried out by training 30 midwives Purwakarta as the District Health Office work area. The dissemination phase was carried out to midwives, midwifery students, and various related parties. The results show that midwives need the midwifery continuity of care competencies (86%). The competency needs show that based on the characteristics of midwives, there are differences between competences and age, employment status, and place of work (p-value 0.005). In addition, there is no differences between the length and purpose of using a smartphone (p-value < 0.005). For the training curriculum aspect, there is a significant correlation between learning strategies, learning materials, and learning media to learning evaluation (p-value < 0.005). Using Pearson, the test shows strong correlation between learning strategies and training materials to learning evaluation (r = 0.60-0.80) and a moderate correlation between media and learning evaluation (r = 0.40-0.60). The results of qualitative research on iPosyandu application development discover some themes related to initiation, objectives, benefits, menu (application, data, education, communication (tele-midwifer, training), and iPosyandu application icon. The design of the training curriculum for midwifery continuity of care is considered eligible by the experts with the results that show the increasing knowledge and the skills of midwives’ continuity of care (p-value < 0.005). The curriculum dissemination was carried out using virtual media to socialize the curriculum to district health offices and educational institutions in West Java, and also to provide the training procedure guidelines to the Health Training UPTD in West Java. The improvement of midwifery competencies through midwifery continuity of care training using iPosyandu application is able to support the goal of SDGs purpose no. 3. Keywords: iPosyandu application, continuing midwifery care, curriculum design, trainin

Perbandingan Kurikulum Pendidikan Bidan di Indonesia, New Zaeland, dan Australia

Bidan adalah salah satu tenaga kesehatan sebagai profesi yang terus berkembang sehingga harus mengikuti perkembangan dan perubahan globalisasi. Era globalisasi menuntut tersedianya sumber daya manusia profesional dalam memberikan pelayanan kepada masyarakat. Oleh karena itu, diperlukan pengembangan kurikulum pendidikan bidan berdasarkan kebutuhan perkembangan zaman dengan membandingkan kurikulum pendidikan bidan di Indonesia, New Zaeland, dan Australia. Metode yang digunakan pada penulisan artikel ini dengan menggunakan penelaahan literatue (literature riview) berupa proses penyusunana sintesis kepustakaan. Tahap yang dilakukan dengan menelusuri kepustakaan, menemukan ide utama setiap artikel, dan menuliskan dengan gaya paraphrase. Hal tersebut, dilakukan dengan mengumpulkan berbagai referensi berupa artikel-artikel ilmiah dan text book berdasarkan kajian tentang kurikulum pendidikan bidan di Negara Indonesia, New Zaeland, dan Australia. Dengan demikan, hasil kajian perbandingan kurikulum pendidikan bidan bertujuan untuk mengembangkan kurikulum pendidikan bidan yang dapat menghasilkan lulusan bidan profesional dalam memberikan asuhan yang berpusat pada wanita. Kata Kunci: Bidan, Kurikulum, Pendidikan   Midwives are one of the health workers as a profession that continues to develop so that they must follow the developments and changes of globalization. The era of globalization demands the availability of professional human resources in providing services to the community. Therefore, it is necessary to develop a midwife education curriculum based on the needs of the times by comparing the midwife education curriculum in Indonesia, New Zealand, and Australia. The method used in writing this article uses a literature review in the form of a library synthesis compilation process. The stage was carried out by browsing the literature, finding the main idea of each article, and writing in a paraphrase style. This has done by collecting various references in the form of scientific articles and text books based on studies on the midwifery education curriculum in Indonesia, New Zealand, and Australia. Thus, the results of the comparative study of midwifery education curriculum aim to develop a midwife education curriculum that can produce professional midwife graduates in providing women-centred care

Fenomena Penolakan Auditor Perempuan oleh Auditee Pandalungan

The study aimed at examining several reasons of the Pandalungan auditees’ rejection to female auditors from the cultural side of Pandalungan. This study applied a qualitative approach with a model case study and interview as the data collection technique. Acting as the informans are Pandalungan auditees, a female auditor, a cultural observer and a community leader. As a basis of cultural side analysis, seven elements of the universal cultures are used, those are religious system, social system, knowledge system, languages, art, lifelihood and life tool or technology system. The results indicated that the uncooperative attitude shown by the Pandalungan auditees was one of their ways to avoid female auditors who were more conscientious when doing an auditing process. An emergence of ‘todus’ or embarassment sense was a reaction in response to female auditors’ findings on their Monitoring Report (LHP), which were simply translated as indication of corruption, thus disturbing the Pandalungan auditees’ dignity as a ‘sokkla’ human being (a good and obedient human being). Abstrak Penelitian ini bertujuan menelaah alasan dibalik penolakan auditee Pandalungan terhadap auditor perempuan dari sisi budaya Pandalungan. Penelitian ini menggunakan pendekatan kualitatif dengan model penelitian studi kasus dan wawancara sebagai teknik pengumpulan data. Bertindak sebagai informan adalah auditee Pandalungan, auditor perempuan dan budayawan serta tokoh masyarakat. Sebagai sandaran analisis dari sisi budaya, digunakan tujuh unsur budaya universal yaitu sistem religi, sistem kemasyarakatan, sistem pengetahuan, bahasa, kesenian, mata pencaharian dan sistem peralatan hidup atau teknologi. Hasil penelitian ini menunjukkan bahwa sikap tidak kooperatif yang ditunjukkan oleh auditee Pandalungan merupakan salah satu cara mereka menghindari auditor perempuan yang lebih teliti ketika proses pengawasan. Timbulnya rasa todus atau malu adalah reaksi dari temuan auditor perempuan dalam Laporan Hasil Pengawasan (LHP) yang diterjemahkan begitu saja sebagai indikasi korupsi, sehingga mengusik harga diri auditee Pandalungan sebagai manusia sokkla (manusia yang berlaku baik dan menghindari kemaksiatan)

UPAYA PENINGKATAN PENGETAHUAN KADER POSYANDU TENTANG KESEHATAN IBU HAMIL, BAYI DAN BALITA DI WILAYAH PUSKESMAS JATINANGOR KECAMATAN JATINANGOR SUMEDANG

Peran kader dalam penyelenggaraan posyandu sangat besar karena selain pemberi informasi kesehatan pada masyarakat. Salah satu peran kader posyandu pada saat pelayanan kegiatan posyandu adalah melakukan penyuluhan kepada ibu hamil dan ibu yang memiliki bayi dan balita. Permasalahan yang dihadapi kader masih kurangnya  pengetahuan tentang kesehatan ibu hamil, bayi dan balita. Tujuan kegiatan PKM ini adalah untuk meningkatkan pengetahuan kader posyandu tentang kesehatan ibu hamil, bayi dan balita, agar ibu hamil dan ibu yang mempunyai bayi dan balita mengetahui tentang kesehatannya. Metode kegiatan bertahap dengan : 1) meningkatkan pengetahuan kader dengan ceramah bervariasi, 2) Demonstrasi, 3) Latihan (Role Play) dan 4) Monitoring & Evaluasi. Hasil kegiatan ini adalah terdapat peningkatan pengetahuan kader posyandu tentang kesehatan ibu hamil yaitu sebesar 7,7% dan kesehatan bayi dan balita juga meningkat sebesar 20,3%. Pemberian pelatihan tentang kesehatan ibu hamil, bayi dan balita diwilayah puskesmas Jatinangor pada kader dapat menigkatkan pengetahuan yang dapat digunakan sebagai langkah awal dalam memberikan penyuluhan dan membentuk keterampilan kader untuk di salurkan kembali kepada ibu hamil dan ibu yang mempunyai bayi dan balita. Kata Kunci: Kader posyandu, Kesehatan ibu hamil, Bayi dan balita, Pengetahuan.  ABSTRACT The role of cadres in organizing posyandu (Integrated Service Post In Indonesia)was very large because in addition to provide health information to the community. One of the roles of cadres was educated pregnant women and mothers who have babies and children under five years old when posyandu activity was held. The problem faced by cadres was still a lack of knowledge about the health of pregnant women, infant and children under five years old. The purpose of this community services was to increasethe knowledge of cadres in posyandu about health the health of pregnant women, infant and children under five years old, so they would know about their health. Gradual activity method with : 1) increaning cadre knowledge with varied lectures, 2) demonstration, 3) exercises (Role play) and 4) Monitoring & Evaluation. The result of this activity was the increasing of cadres knowledge about the health of pregnant women, which amounted to 7.7% and the health of infant and children under five years old also increased by 20.3%. providing cadres’ training on the health of pregnant women, infant and children under five years old in Jatinagor Community health center (or, “Puskesmas Jatinagor” in Indonesia) could increase knowledge which could be used as an initial step in providing counseling and forming cadres’ skill to be distributed back to pregnant women and mothet who have babies and children under five years old. Keywords : Posyandu, cadres, health of pregnant women, infant and children under five years old, Knowledge.

PENGETAHUAN REMAJA PUTRI TENTANG BAHAYA PERILAKU SEKSUAL PRANIKAH DI DESA KALISARI DAN DESA KALIJAYA KABUPATEN KARAWANG

ABSTRAKPengetahuan remaja tentang seks pranikah masih kurang karena sumber informasi yang didapatkan tidak benar, tepat, dan terpercaya sehingga akan mempengaruhi pemahaman menjadi menyimpang. Pengetahuan remaja yang minim akan berpegaruh terhadap perilaku seksual pranikah. Perilaku seksual pranikah berisiko terjadi kehamilan di luar nikah, aborsi, dan dapat meningkatkan kasus kekerasan dan perceraian. Penelitian ini bertujuan untuk mengetahui pengetahuan remaja putri tentang bahaya perilaku seksual pranikah di Desa Kalisari dan Desa Kalijaya Kabupaten Karawang. Metode penelitian yang digunakan adalah penelitian deskriptif dengan pendekatan cross sectional. Pengambilan sampel menggunakan teknik purposive sampling. Penelitian ini dilakukan pada bulan juli 2018 dengan populasi dua desa sebayak 403 orang. Besar sampel dalam penelitian ini sebanyak 80 remaja putri di Desa Kalisari dan Desa Kalijaya. Instrument penelitian ini menggunakan kuesioner. Cara pengolahan dan analisis data menggunakan spss versi 15. Hasil penelitian pada kuesioner pengetahuan menunjukkan 47,8% berpengetahuan cukup. Simpulan penelitian ini adalah masih terdapat remaja yang berpengetahuan cukup tentang bahaya perilaku seksual pranikah.Kata Kunci: Pengetahuan, Perilaku Seksual Pranikah, Remaja PutriABSTRACTAdolescent girls' knowledge about premarital sex is still lacking due to the incorrect, inaccurate, and untrustworthy source of information obtained, which affects their understanding to be distorted. Lack of adolescent girls' knowledge will affect the premarital sexual behavior. Premarital sexual behavior presents risks of an extramarital pregnancy, abortion, and can increase cases of violence and divorce. This study aimed to determine the adolescent girls' knowledge about the dangers of premarital sexual behavior in Kalisari and Kalijaya Villages, Karawang District. The research method used was descriptive research with cross-sectional approach and the sampling used purposive sampling technique. This study was conducted in July 2018 with a population of two villages consisting of 403 people. The sample size in this study was 80 adolescent girls in Kalisari and Kalijaya Villages. Instrument of this study used a questionnaire. Furthermore, data processing and analyzing used SPSS version 15. The results of the study from questionnaire on knowledge showed that 47.8% were knowledgeable enough. The conclusion of this study is that there are still adolescent girls who have sufficient knowledge about the dangers of premarital sexual behavior.Keywords: knowledge, premarital sexual behavior, adolescent girl

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

ANALISIS PENGETAHUAN DAN BUDAYA IBU HAMIL TENTANG MANFAAT BERSALIN DI FASILITAS KESEHATAN

Introduction: Giving birth in a health facility is one of the efforts to make the complication in mothers during giving birth be well resolved. For the reduce morbidity and mortality maternal and neonatal, knowledge and culture of pregnant mothers has a major influence on it. The objective of this research was to know the description of the knowledge and culture of pregnant mothers about the benefit of giving birth at health service facility, this study was conducted inCommunity Health Center of Soreang years 2016. Methods: The method used in this research was descriptive method with cross-sectional design; the population in this research was all pregnant mothers,the samples was 80. The sampling used accidental sampling. The data were obtained by using primary data through questionnaires, and analyzed through univariate analysis.. Results: From the research result, it was obtained that the pregnant mothers with the characteristic age from 20 to 35 (16.2%), multigravida (13.8%), mothers whose education was senior high school level had good education (8.8%) had insufficient knowledge about the benefit of giving birth in the health service facility. Viewed from the influence of culture, pregnant mothers aged from 20 to 35 and multigravida&nbsp; pregnant mothers (21.2%) were influenced, while based on education (16.2%) pregnant mothers whose education was elementary school were those who were influenced by the culture regarding giving birth aid done at home by parajis (traditional midwives). Conclusion: The conclusion of the research, show that there are still pregnant women who have less knowledge about maternity benefits in health care facilities and there is still the cultural influence of pregnant women affect the mother to do home delivery assistance by paraji

PERSEPSI PETUGAS GIZI DALAM PEMANTAUAN STATUS GIZI BALITA DENGAN MENGGUNAKAN WEBSITE IPOSYANDU

ABSTRACT  Backgroud:The development of technology that is developing rapidly so at this time all information, especially about health using the internet. This can help the nutrition officer task in monitoring the nutritional status of children under five by using the website. The purpose of this study was to determine the perception of nutrition officers in monitoring the nutritional status of infants by using the iPosyandu website.  The research method uses descriptive cross sectional approach. This research was conducted in October until December 2019 with 50 nutrition workers in PKM in the Karawang regency working area. The sampling technique uses total sampling. Data analysis used to univariate variable in the form of a frequency distribution table.  The results showed that nutrition workers had a perception that the ease of accessing information through the website was 50%. Then for the contents of the website is complete and clear by 45%, and there is information and privacy in finding information related to iPosyandu by 32%, and the accuracy of the selection of font size in the website display by 55%.  The conclusion in this study is the perception of nutrition officers towards the website mostly agree on the site, content, information, and appearance of the iPosyandu website. Sugestion based on the results of this study that the iPosyandu website can provide important information to nutrition workers to facilitate monitoring of the implementation of nutritional status monitoring in the work area of each health center so that it can be quickly and appropriately handled if there are cases of malnutrition in children under five in their region.  Keyword: Perception, Nutritionist, iPosyandu Website  ABSTRAK  Latar Belakang Seiring dengan perkembangan teknologi yang berkembang dengan pesat maka saat ini semua informasi terutama tentang kesehatan menggunakan internet. Hal tersebut, dapat membantu tugas petugas gizi dalam melakukan pemantuan status gizi balita dengan menggunakan website.  Tujuan penelitian ini untuk mengetahui persepsi petugas gizi dalam pemantauan status gizi balita dengan menggunakan website iPosyandu.  Metode Penelitian menggunakan deskriptif pendekatan cross sectional. Penelitian ini dilakukan pada bulan Oktober s.d Desember 2019 pada petugas gizi di PKM wilayah kerja Kabupaten Karawang sebanyak 50 orang. Teknik pengambilan sampel dengan menggunakan total sampling. Analisis data menggunakan univariat yang disajikan dalam bentuk tabel distribusi frekuensi.   Hasil Penelitian didapatkan bahwa petugas gizi memiliki persepsi bahwa kemudahan dalam mengakses informasi melalui website sebesar 50%. Kemudian untuk isi situs web sudah lengkap dan jelas sebesar 45%, dan terdapat informasi dan privasi dalam menemukan informasi terkait iPosyandu sebesar 32%, serta ketepatan pemilihan ukuran huruf dalam tampilan website sebesar 55%.  Simpulan dalam penelitian ini bahwa persepsi petugas gizi terhadap website sebagian besar setuju terhadap situs, isi, informasi, dan tampilan situs website iPosyandu. Saran berdasarkan hasil penelitian ini bahwa website iPosyandu dapat memberikan informasi penting kepada petugas gizi  untuk memudahkan pemantauan pelaksanaan pemantaun status gizi di wilayah kerja Puskesmas masing-masing agar bisa cepat dan tepat di tangani apabila terdapat kasus-kasus penyimpangan gizi pada balita di wilayah nya.   Kata Kunci: Persepsi, Petugas Gizi, Website iPosyand

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