Informed Consent Dalam Penanganan Pasien Gawat Darurat Di Puskesmas Kota Kediri Wilayah Selatan

Objective: Research Objectives: Knowing the importance of informed consent in handling emergency patients at the Kediri City Health Center in the South Region in 2021Methods: This study was descriptive to determine informed consent at the Kediri City Health Center in the South Region. Using a combined research method that is analytic with cross sectional approach and normative juridical. The study was conducted in January 2022. The population in this study was based on data from the Kediri City Health Center in the Southern Region. The data were processed to determine the level of intensity of informed consent at the research site.Results: Based on the results of the study, it is known that in the period of 2021 the informed consent rate at the Kediri City Health Center in the southern region occurred 13 cases of emergency and accidental deliveries. Where this number can be called high for emergency patients.Conclusion: Based on the results of the study, it can be concluded that to avoid the high mortality rate of emergency patients, in handling emergency patients, prior approval is not required, the most important thing is to save the life of a patient. This is in accordance with the applicable laws and regulations, namely Article 4 paragraph (1) of the Minister of Health Regulation Number 290/Menkes/Per/III/2008 concerning Approval of Medical Actions. Although here there is a conflict of norms among several rules regarding informed consent

The Analysis of Factors Influencing Behavior of Pregnant Mother in Performing Prevention Mother to Child HIV Transmission (PMTCT) in PHC Pesantren I Kediri

Background: Mother to child transmission of HIV can be prevented, but the incident of HIV in children from year to year continues to increase. Purpose: The research objective is to analyze the factors influencing behavior of pregnant mothers in performing Prevention Mother to Child HIV Transmission (PMTCT). Method: The research design was analytic observational with cross sectional approach. The population was all of pregnant mothers in working area of PHC Pesantren I Kediri. The samples were 63 respondents using simple random sampling. Data were collected using questionnaires given to pregnant mothers at the time of antenatal care in PHC Pesantren I Kediri and then analyzed using logistic regression. Results: The results showed that variable X1 (role of officer) with p = 0.104; OR = 4.609, Variable X2 (knowledge) with p = 0.004; OR = 31.057, Variable X3 (attitude) with p = 0.030; OR = 8.993, Variable X4 (husband support) with p = 0.015; OR = 4.789, Variable X5 (house distance) with p = 0.720; OR = 1.232 and Variable X6 (interest) with p = 0.014; OR = 2.863. In conclusion, the factors influencing Y (behavior of pregnant mothers in performing PMTCT examination) were knowledge and attitude, with the most dominant factor was knowledge with the influence of 31.057. Conclusion: Shows that,The low level of mother’s knowledge about PMTCT, uncooperative mother’s attitude, lack of husband support and lack of mother’s interest caused the low coverage of PMTCT examination in PHC Pesantren I Kediri. The health promotion efforts need more intensive so that the success of PMTCT program can be achieved

Determinant of Stunting in Gandasuli Community Health Center, South Halmahera Regency, North Maluku

Background: Stunting is a linear growth disorder that is not appropriate for age indicating a long-term event and is an accumulative impact of insufficient nutrient consumption, poor health conditions and inadequate care. Objectives: This study aims to analyze or explore in depth the causes of stunting in toddler. Methods: The research was conducted in ​​Gandasuli Community Health Center, South Halmahera Regency, North Maluku. This research is a qualitative research with a sampling of researchers using non-probability sampling techniques, or rather researchers using purposive sampling technique. Subjects were determined based on inclusion criteria and obtained as many as 12 toddlers over 24 months. Data analysis in qualitative research is presented based on the data that has been collected and then conclusions are drawn. Results: The results showed that the knowledge about stunting was still lacking, children were not exclusively breastfed causing malnutrition, errors in giving complementary foods which resulted in stunting, low family economic factors, inadequate use of integrated service post, as well as poor environmental sanitation, food taboo culture for pregnant women, breastfeeding women and toddlers themselves so they can reduce their food intake which in turn reduces their nutritional status

The Effect of Giving Water Extract Boiled Beluntas Leaves on the Prevention of Vaginal Discharge in S1 Public Health Students at the STRADA Indonesia Institute of Health Sciences

Background: The high rate of vaginal discharge in women is caused by infection of various fungi in the vagina by bacteria Thricmonas vaginalis and candida albicans. Excessive and abnormal vaginal discharge can be an early symptom of cervical cancer that can lead to death in women. Purpose: The purpose of this study was to determine the effect of giving water extract of boiled beluntas leaves on the prevention of vaginal discharge in S1 Public Health students at the STRADA Indonesia Institute of Health Sciences. Methods: This study used a pre-experimental method with a type of research one group pre test post test. The population in this study was all S1 Public Health students at the STRADA Indonesia Institute of Health Sciences and sampling using the simple random sampling method with a total of 84 respondents. Data analysis techniques used to test hypotheses are the Wilcoxon Test and data collection using questionnaires. Results: Data analysis using the Wilcoxon test shows that the significance level is 0.000< α = 0.05 so that H0 is rejected and H1 is accepted which means that there is an effect of giving beluntas leaf boiled water extract on the prevention of leucorrhoea in S1 Public Health students at the STRADA Indonesia Institute of Health Sciences. Conclusion: It is expected that female students who experience vaginal discharge can apply water extract of beluntas leaf decoction as a non-pharmacological drug that can be used if experiencing vaginal discharge

EDUKASI PENYAKIT STROKE DENGAN MENGGUNAKAN METODE SEGERA KE RUMAH SAKIT

Penanggulangan peningkatan penyakit tidak menular (PTM) dapat berdampak terhadap peningkatan beban warga dan pemerintah, karena memerlukan waktu yang lama dan anggaran serta teknologi dengan biaya yang tinggi. Dalam pencegahan penyakit tidak menular termasuk stroke, pemerintah fokus pada upaya promotive dan preventif dengan tidak meninggalkan upaya kuratif dan rehabilitative. Di Indonesia upaya pencegahan stroke memerlukan pengelolaan yang baik dengan keterlibatan berbagai pihak, termasuk masyarakat desa. Tujuan dari pengabdian ini adalah untuk memberikan informasi mengenai penanganan stroke dan deteksi dini dari serangan penyakit stroke kepada masyarakat RT.42 RW.11 di Kelurahan Demang Palembang. Berdasarkan hasil pegkajian penyuluhan dan deteksi dini penyakit sroke pada masyarakat RT.41 RW.11 di Kelurahan Demang Palembang berlangsung dengan baik dan lancar dan didapati beberapa warga terdeteksi mengalami hipertensi, dimana seperti yang diketahui bahwa hipertensi merupakan faktor pencetus nomor 1 seseorang mengalami serangan stroke. Akan tetapi masih terdapat beberapa kelemahan seperti belum tersosialisasikan secara merata untuk semua daerah di Kelurahan Demang sehingga perlu diperluas lagi proses sosialisasi melalui pendampingan untuk penanganan dan deteksi dini penyakit stroke

Mother's Behavior in Breastfeeding after the Covid-19 Pandemic: a Cross Sectional Study

Background: Research related to the implementation of breastfeeding guidelines after the COVID-19 pandemic in healthy breastfeeding mothers is still minimal, even though the mother's behavior in implementing breastfeeding guidelines correctly can ensure the safety of breastfeeding. Purpose: This study aims describe the behavior of mothers in breastfeeding during and after COVID-19 pandemic. Methods: This study used a cross-sectional design. The sample in this study were breastfeeding mothers who had babies aged less than 6 months who met the inclusion criteria and obtained a total of 94 respondents. The research instrument used a questionnaire. Mother's behavior in breastfeeding is categorized into good, moderate and sufficient categories. Data analysis used the wilcoxon signed ranks test to compare behavior during and after the COVID-19 pandemic. Results: During the pandemic, the behavior of mothers in the moderate category was more than the good or sufficient category, which was 42.6%. Meanwhile, after the pandemic, there was no maternal behavior in the sufficient category, while the good category was more than the moderate category, which was 71.3%. The Wilcoxon Rank Test results obtained p-value=0.000, there was a significant difference between the behavior of mothers in breastfeeding during and after the COVID-19 pandemic. Conclusion: The covid-19 pandemic period for breastfeeding mothers is an external stimulus, it is hoped that mothers can make changes to the right breastfeeding pattern in accordance with health protocols as an effort to control and prevent the spread of covid-19 during the breastfeeding process, because the benefits of breastfeeding far exceed the potential for COVID-19 transmission