Kinerja Bidan Desa dalam Pelayanan Antenatal Terkait Upaya Pencegahan Bayi Berat Lahir Rendah di Wilayah Kabupaten Banyumas Tahun 2011

Universitas Diponegoro Program Pascasarjana Program Magister Ilmu Kesehatan Masyarakat Konsentrasi Administrasi dan Kebijakan Kesehatan Minat Manajemen Kesehatan Ibu dan Anak 2011 ABSTRAK Anita Widiastuti Kinerja Bidan Desa dalam Pelayanan Antenatal Terkait Upaya Pencegahan Bayi Berat Lahir Rendah di Wilayah Kabupaten Banyumas Tahun 2011 xv + 99 halaman + 21 tabel + 3 gambar + lampiran Kejadian BBLR Kabupaten Banyumas tahun 2008 1,2% meningkat tajam pada tahun 2009 sebesar 6,4%. Peningkatan kejadian BBLR menunjukkan adanya kinerja bidan dalam pelayanan antenatal terkait upaya pencegahan BBLR yang kurang baik. Penelitian ini bertujuan mengetahui faktor manakah diantara persepsi kemampuan dan ketrampilan, persepsi kepemimpinan, persepsi supervisi, persepsi beban kerja dan motivasi kerja yang berpengaruh terhadap kinerja bidan desa dalam pelayanan antenatal terkait upaya pencegahan BBLR di Kabupaten Banyumas. Jenis penelitian adalah observasional dengan pendekatan cros sectional. Pengumpulan data primer melalui wawancara menggunakan kuesioner terstruktur kepada bidan desa. Besar sampel adalah 74 dan dipilih secara proportionate sampling. Data dianalisis secara kuantitatif dengan menggunakan uji statistik Chi-square serta regresi logistik multivariat. Hasil penelitian menunjukkan 55,4% responden mempunyai kemampuan dan ketrampilan dalam pelayanan antenatal terkait upaya pencegahan BBLR dengan kategori baik. Persepsi responden terhadap kepemimpinan 54,1% dengan kategori baik. 52,7% memiliki persepsi yang baik terhadap kegiatan supervisi. 44,6% responden memiliki persepsi yang kurang baik terhadap beban kerja dan 50% responden mempunyai motivasi dengan kategori rendah, 47,3% responden memiliki kinerja dalam pelayanan antenatal terkait upaya pencegahan BBLR masuk kategori kurang baik. Secara bivariat menunjukkan bahwa semua variabel bebas dalam penelitian memiliki hubungan dengan variabel terikat. Hasil analisis regresi multivariat didapatkan data ada pengaruh bersama persepsi beban kerja Exp. B=9,5 dan motivasi kerja Exp.B=4,2 terhadap kinerja bidan desa dan faktor yang paling berpengaruh terhadap kinerja adalah persepsi beban kerja. Untuk meningkatkan pelayanan antenatal terkait upaya pencegahan BBLR disarankan kepada Dinas Kesehatan Kabupaten untuk melakukan pembenahan tugas-tugas yang harus dikerjakan oleh bidan desa dan bagi puskesmas untuk dapat meningkatkan motivasi kerja dengan meningkatkan peran pimpinan dalam memberikan pengarahan, bimbingan dan bantuan bagi bidan. Kata kunci : Pelayanan antenatal, Kinerja bidan desa, BBLR Kepustakaan : 53(1993-2010) Diponegoro University Postgraduate Program Master’s Program in Public Health Majoring in Health Policy Administration Sub Majoring in Maternal and Child Health Management 2011 ABSTRACT Anita Widiastuti Performance of Village Midwives in Antenatal Services Related to the Prevention of Low Birth Weight Infants in Banyumas District, 2011 Xv + 99 pages + 21 tables + 3 figures + enclosure The occurrence of low birth weight infant in the district of Banyumas in 2008 was 1.2%. It increased steeply in 2009 to reach 6.4%. The increase of low birth weight infant occurrence indicated insufficient performance of midwives in implementing antenatal care related to low birth weight infant preventive action. The objective of this study was to know which of these factors, ability and skill perception, leadership perception, supervision perception, workload perception and work motivation, were related to village midwives working performance in implementing antenatal care related to low birth weight infant preventive action in the district of Banyumas. This was an observational study with cross sectional approach. Primary data was collected by interviewing village midwife coordinators guided by structured questionnaire. Study samples were 74 midwives selected using proportionate sampling method. Data were analyzed quantitatively using chi square and multivariate logistic regression statistical test. Results of this study showed 55.4% of respondents had good ability and skill in implementing antenatal care related to low birth weight infant preventive action. 54.1% of respondents had good perception regarding leadership. 52.7% had good perception on supervision activity. Furthermore, 44.4% of respondents had poor perception regarding workload and 50% had poor motivation, 47.3% had poor working performance in implementing antenatal care related to low birth weight infant preventive action. Result of multivariate logistic regression showed that workload perception (Exp. B=9.5) and working motivation (Exp. B = 4.2) influenced the working performance of village midwives taking into account other variables influences. The most influencing factor towards performance was work load perception. To improve antenatal care related to preventive action of low birth weight infants, it was suggested to district health office personnel to reorganize jobs performed by village midwives. Puskesmas has to improve working motivation of midwives by increasing roles of head of puskesmas in giving supervision and guidance to midwives. Key words : Antenatal care, village midwives working performance, low birth weight infants Bibliography : 53 (1993 – 2010

PROGRAM PMT DAN GRAFIK PERTUMBUHAN BALITA PADA MASA PANDEMI COVID

The incidence of stunting toddler is a major nutritional problem facing Indonesia. Preventive efforts during a pandemic by providing additional information and food for toddler. The aim is to detect the growth of toodler and to survey the supplementarry feeding program. The data was collected using a web-based information system combined with secondary data from the health center. This type of descriptive analytic research, retrospective cohort time approach to 125 toddlers.The results showed that there was a decrease in the Z score of body weight / age in children under five for weighing before the program was compared to after the program was running during the Covid pandemic. The Z score height / age increased the percentage for normal height. Meanwhile, there was a decrease in the percentage of very short, short and tall height.In conclusion, during the Covid pandemic 19 the growth chart for toddler experienced a decrease in terms of body weight per age and experienced stagnation in height growth

Pengembangan Sistem Informasi Rapor Kesehatan Online

This study aims to build an information system to facilitate data input activities, surveillance, and monitoring of adolescent health. This research method is Research and Development (R&D). This study is an information system recording the results of filling out multiple intelligence questionnaires, anthropometric measurements, and vital signs of each individual at a web-based youth posyandu. The information system development method uses the Systems Development Life Cycle (SDLC) approach. The system for recording adolescent measurements includes weighing, measuring height, calculating BMI, measuring blood pressure, measuring upper arm circumference and abdominal circumference, and checking anemia for adolescent girls clinically every month. In conclusion, this information system is a solution to the existing documentation problems in implementing the youth posyandu. There is still limited access to my health report card for recording adolescent health.                                               Keywords: Recording, Youth Posyandu, Information Syste

Prevalensi Kejadian Penyakit Tidak Menular (PTM)

This study aims to determine the characteristics of Posbindu participants and the incidence of non-communicable diseases. The research method used in this research is descriptive observational. The results showed that most (58%) found high blood pressure/hypertension, the majority (97.3%) found no high or regular blood sugar, on examination of uric acid, some (57.3%) found no high or normal uric acid as much Of the 63 people for cholesterol examination, the majority (85.5%) found normal cholesterol levels as many as 94 people. In conclusion, there is no significant relationship between gender and the incidence of hypertension, diabetes, gout, and high cholesterol. However, the analysis results show that women are more at risk for developing non-communicable diseases such as hypertension, diabetes, gout, and high cholesterol.   Keywords: Early Detection, Climacterium, Elderly, Non-Communicable Disease

Pemberian Air Rebusan Jahe Menurunkan Mual Muntah Ibu Hamil Trimester I

ABSTRACTDiscomfort during pregnancy is often felt by the mother, one of which is nausea and vomiting. Nausea and vomiting in pregnancy due to increased hormones estrogen and Human Chorionic Gonadrotropin (HCG), which occurs in the first trimester of pregnancy and is based on a preliminary survey data from 15 pregnant women the first trimester antenatal there were 8 (53.33%) of pregnant women experience nausea gag. The purpose of this research was to determine the effect of ginger boiled water to decrease nausea and vomiting in pregnant women trimester I. This research was conducted in Bandongan Kabupataen Magelang Primery Health Care. This study uses a quasi-experimental design One Group Pre-test Post-test. The study population was all pregnant women the first trimester in Bandongan Kabupataen Magelang Primery Health Care.  The results showed that there is the effect of ginger boiled water to decrease nausea and vomiting in the first trimester pregnant women with p value 0.000From the research results expected in pregnant women who experience nausea and vomiting can apply the use of ginger to boiling water as one method of treatment alternative to reduce nausea and vomiting at doses pregnancy with accordance with the rulesKeywords: Ginger, Nausea Vomiting, Pregnancy Trimester I ABSTRAKKetidaknyamanan pada masa kehamilan sering dirasakan ibu, salah satunya adalah mual muntah. Mual muntah dalam kehamilan diakibatkan peningkatan hormon estrogen dan Human Chorionik Gonadrotropin (HCG) yang terjadi pada kehamilan trimester I dan berdasarkan data survey pendahuluan dari 15 ibu hamil trimester pertama yang melakukan pemeriksaan kehamilan terdapat 8 (53,33%) ibu hamil yang mengalami keluhan mual muntah. Tujuan dalam penelitian ini adalah untuk mengetahui pengaruh pemberian air rebusan jahe terhadap penurunan mual dan muntah pada ibu hamil trimester I. Penelitian ini dilakukan di wilayah kerja Puskesmas Bandongan Kabupataen Magelang. Penelitian ini menggunakan quasi experiment dengan desain One Group Pre-test Post-test. Populasi penelitian ini adalah semua ibu hamil trimester I diwilayah kerja Puskesmas Bandongan Kabupataen Magelang dengan menggunakan teknik total sampling. Hasil penelitian menunjukkan bahwa ada pengaruh pemberian air rebusan jahe terhadap penurunan mual dan muntah pada ibu hamil trimester I dengan p value 0,000. Dari hasil penelitian diharapkan ibu hamil yang mengalami mual muntah dapat mengaplikasikan penggunaan air rebusan jahe untuk sebagai salah  satu  metode  pengobatan  alternative untuk mengurangi mual muntah pada kehamilandengan dosis sesuai dengan aturan 

KEPATUHAN KONSUMSI TABLET TAMBAH DARAH PADA REMAJA PUTRI

The healthy generation is passed down from the previous healthy generation. For that we need good preparation so that when a pregnant woman is in optimal healthy condition. Healthy conditions will give birth to a healthy generation. Long before becoming pregnant, young women must be prepared to have good health habits. The purpose of this study was to determine compliance with the consumption of added blood tablets in adolescent girls between urban and regional areas. This type of research is descriptive which illustrates adherence of young women in consuming blood- added tablets. The population / research subjects in this study were young women who were targeted by the Fe supplementation delivery program. Schoolgirls have received an added blood packet. In its development there are students who are obedient and there are students who are less obedient in consuming Fe supplementation. For schools in the regions, the consumption of blood added tablets 100% of respondents spend the added blood tablets that have been received. While for students who are in urban areas who spend less than 50% add blood tablets. The conclusion that there are still many cases of anemia in schoolgirls who are taking the program added to the tablet added blood. This can be attributed to the awareness that is still lacking in consuming blood-added tablets. It is recommended for schools to be able to help make students aware of consuming blood added tablets that have been given from the government