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Setelah dilaksanakan Program Jampersal cakupan linakes Puskesmas Cipaku tahun 2012 sebesar 76,8%, dibawah cakupan Dinkes Kota Bogor 88,8%, rujukkan resiko tinggi sebanyak 90,9%. KB pasca salin pengguna Jampersal hanya 7%. Penelitian bertujuan mengidentifikasi determinan pemanfaatan Jampersal. Jenis penelitian cross sectional, Informasi melalui wawancara kepada 145 responden. Hasilnya pengetahuan, sikap ,dukungan keluarga, dukungan tenaga kesehatan berhubungan dengan pemanfaatan Jampersal, dukungan keluarga determinan dominan terhadap pemanfaatan Jampersal (Pv=0,000 OR=12,048 95% CI (4,568-31,777). Disarankan Dinkes mengajak BPS meningkatkan partisipasinya mendukung Jampersal, peningkatan keterampilan bidan dalam konseling KB. Sosialisasi melalui ANC dan kelas ibu. Dukungan keluarga dibutuhkan dalam mempersiapkan administrasi dan mendampingi saat pemeriksaan.
Once implemented birth assisted by skilled health personnel in Health Center Program Cipaku Jampersal coverage in 2012 of 76.8%, under the scope of Bogor City Health Office 88.8%, referral high risk as much as 90.9% higher. KB post partum beneficiaries Jampersal only 7%. The research aims to identify the determinants of utilization Jampersal. Type of cross-sectional studies, information obtained through interviews with 145 respondents. Results of the study of knowledge, attitude, family support, health support personnel associated with the use of Jampersal, family support dominant determinant of the utilization Jampersal (Pv = 0.000 OR = 12.048 95% CI (4.568 to 31.777). Suggested Health Office invites privately practicing midwives increase participation Jampersal support, skills midwives in family planning counseling. midwives are expected to socialize through the ANC and the ?kelas ibu?. Needed family support and assist the administration in preparing for the hearing.
Maternal Mortality and Infant Mortality Rate constitutes one of health degree as social indicator. In Indonesian its still becomes a main priority in health development. On 2007, Health Department with JICA develops a Pregnant Mother Class's Program at 5 health centers in Garut District that has purpose as intervention binds with Books KIA. Base annual report on 2008 by Health Department in Garut District, find out that haven't all regions worked out with intervention success. This research constitutes study prevalence 2 populations, Cross Sectional Design with = |86 third trimester?s pregnant mothers whene 93 respondents got KIH and 93 respondents without KII-I. Acquired observational result 73 respondents with KH-I exists 78,5% mothers have positive behavior in birth preparedness and emergency readiness (p =0,000; OR=l6,899). Meanwhile the dominant variables that engaged with mother?s behavior besides mother class are occupation, husband and family support and society figure support.
DARI HASIL PENELITIAN INI DIDAPAT ANGKA 55,5% (95% CI: 47%-67%). TEMUAN INI MENUNJUKKAN BAHWA PROPORSI ANEMIA MASIH TETAP TINGGI DI WILAYAH KERJA PUSKESMAS SINDANG BARANG. DALAM PENELITIAN INI FAKTOR PENYEBAB TIDAK LANGSUNG YANG BERHUBUNGAN DENGAN KEJADIAN ANEMIA PADA IBU HAMIL ADALAH UMUR IBU, UMUR KEHAMILAN, DAN JUMLAH KONSUMSI TABLET TAMBAH DARAH. PENELITIAN INI JUGA MENEMUKAN FAKTOR MENDASAR YANG BERHUBUNGAN DENGAN KEJADIAN ANEMIA IBU HAMIL YAITU PENDIDIKAN DAN PENDAPATAN KELUARGA. DISARANKAN AGAR PERAN BIDAN PUSKESMAS MELAKUKAN KONSELING DAN PROMOSI PENCEGAHAN ANEMIA. KEAKTIFAN KADER DIPERLUKAN SEBAGAI FASILITATOR UNTUK MENGAWASI KEPATUHAN MINUM TABLET TAMBAH DARAH.
KATA KUNCI : ANEMIA, IBU HAMIL, PUSKESMAS
Pemberian makanan yang tepat dan optimal sangat penting untuk kelangsungan hidup, pertumbuhan dan perkembangan bayi yaitu dengan menyusui bayi sesegera mungkin setelah lahir dan memberikan ASI eksklusif sampai umur 6 bulan. Pengetahuan dan sikap ibu hamil akan membantu langkah keberhasilan dalam menyusui. Media audio visual merupakan media penyuluhan yang menarik dan merangsang lebih banyak indera. Tujuan penelitian ini adalah diperolehnya informasi mengenai pengaruh paparan singkat media audio visual tentang ASI eksklusif terhadap pengetahuan dan sikap ibu hamil. Desain penelitian yang digunakan untuk pengembangan adalah research and development sedangkan untuk uji coba menggunakan quasiexperimental design dengan jenis pre-test dan post-test control group design. Jumlah sampel dalam penelitian ini sebanyak 260 orang yang dibagi menjadi 4 kelompok yaitu 65 orang kelompok media audio visual, 65 orang kelompok booklet, 65 orang kelompok media audio visual dan booklet, 65 orang kelompok kontrol. Pengambilan sampel melalui non probability sampling dan pengumpulan data menggunakan kuesioner yang dianalisis dengan uji-t, Oneway ANOVA dan regresi linear ganda. Hasil uji menunjukan rata-rata skor pengetahuan dan sikap pada kelompok media audio visual lebih tinggi saat post test dibanding pre test. Hasil analisis multiregresi menunjukkan variabel yang dominan adalah pendidikan. Peneliti merekomendasikan penggunaan media audio visual dalam kegiatan penyuluhan dalam upaya meningkatkan pengetahuan dan sikap ibu.
Proper and optimum feeding is essential for the viability, growth, and development of infant by breastfeeding the infant as soon as the birth and giving exclusive nursing until the baby reaches 6 months old. Knowledge and attitude of pregnant woman will provide the steps to successful breastfeeding. Audio visual media is an education media which attracts and stimulates more sense. The purpose of this research is to obtain the information about the effect of brief exposure of audio visual media on exclusive breastfeeding toward the knowledge and attitude of pregnant women. The used research design for the development is research and development whilst for trial, using quasiexperimental design with the type of pre-test and post-test control group design. The number of samples in this study were 260 people who were divided into 4 groups: 65 people of audiovisual media group, 65 people of booklet group, 65 people of audio-visual media and booklet group, 65 people of the control group. Sampled through the nonprobability sampling and data collection using questionnaires which were analyzed by t-test, Oneway ANOVA and multiple linear regression. The test result showed an average score of knowledge and attitude on audio-visual media group is higher when tested by pre-test compared to post-test. Result of multiple regression analysis showed that the dominant variable is education. Researchers recommend the use of audio-visual media in educational and counseling activity in order to raise the knowledge and attitude of the pregnant women.
Hasil penelitian menunjukkan prevalensi anemia pada ibu hamil di Wilayah Kerja Puskesmas Merdeka Kota Bogor tahun 2017 sebesar 24,1 %. Berdasarkan hasil analisis didapatkan faktor yang berhubungan dengan kejadian anemia pada kehamilan adalah umur kehamilan (nilai P: 0,048) dan kekurangan energi kronik (nilai P: 0,013). Sedangkan faktor umur ibu, paritas dan jarak kelahiran tidak berhubungan dengan kejadian anemia pada kehamilan. Berdasarkan penelitian ini, perlu peningkatan pengetahuan ibu hamil mengenaik kebutuhan zat gizi terutama zat besi selama kehamilan dan pembentukan program pengawasan minum tablet tambah darah untuk memantau semua ibu hamil mengkonsumsi tablet tambah darah sesuai dengan kebutuhan selama kehamilan.
Kata kunci: Anemia, Ibu hamil, Faktor-faktor
Nutrition problems such as anemia in pregnant women are still the focus of attention in health development in Indonesia. 40% of maternal deaths in the world are associated with anemia in pregnancy. The Riskesdas report of 2013 states that the prevalence of anemia in pregnancy in Indonesia is 37.1%. This study aims to determine the prevalence of anemia and factors affecting the incidence of anemia in pregnant women in the Working Area of Merdeka Healt Centers 2017. This research is a quantitative research using cross sectional design. Sources of data in this study were maternal cohorts and maternal registers. The sampling technique used was total sampling with the number of 195 pregnant women.
The results showed that the prevalence of anemia in pregnant women in the Work Area of Merdeka Health Center Bogor City in 2017 was 24.1%. Based on the analysis results obtained factors associated with the incidence of anemia in pregnancy is the age of pregnancy (P value: 0.048) and chronic energy deficiency (P value: 0.013). While the maternal age, parity and birth spacing factors were not associated with the incidence of anemia in pregnancy. Based on this research, it is necessary to increase the knowledge of pregnant mother about requirement of nutrient especially iron during pregnancy and establishment of supervision program of tablet consumption to all pregnant woman consume tablets added blood as needed during pregnancy.
Keywords: Anemia, pregnant women, factors
ABSTRAK Nama : Debby Rosita Program Studi : Ilmu Kesehatan Masyarakat Judul : Pengaruh Pemberian Tablet Zat Besi ( Fe ) Terhadap Kejadian Anemia Pada Ibu Hamil di Puskesmas Karang Asam Kota Samarinda Tahun 2015 - 2017 Salah satu masalah gizi yang banyak terjadi pada ibu hamil adalah anemia gizi, yang merupakan masalah gizi mikro terbesar dan tersulit diatasi di seluruh dunia. Anemia pada wanita hamil dapat menimbulkan dampak sejak kehamilan, setelah lahir, usia sekolah hingga masa dewasa. Tujuan dari penelitian ini untuk mengetahui pengaruh pemberian tablet zat besi ( Fe ) pada ibu hamil terhadap kejadian anemia pada ibu hamil di Puskesmas karang Asam Kota Samarinda Tahun 2015 – 2017. Penelitian dilakukan dengan metode kualitatif dan kuantitatif (mix method). Adapun penelitian kuantitatif menggunakan desain penelitian Kohort Retrospektif penelitian kuantitatif difokuskan pada pengambilan data pemberian tablet zat besi (Fe), kejadian anemia, usia, pendidikan, pekerjaan, paritas dan kunjungan ANC. Sedangkan jenis penelitian kualitatif yang digunakan adalah penelitian eksplanatory sekuensial. Dalam penelitian ini data penelitian kualitatif melengkapi data kuantitatif. Pengolahan dan analisis data menggunakan uji chisquare (bivariat). Hasil uji statistik variabel umur, pendidikan, pekerjaan, paritas dan kunjungan ANC menunjukkan hasil tidak berhubungan dengan anemia secara statistik. Sedangkan secara kualitatif hal tersebut mempengaruhi anemia. Dari hasil terlihat gambaran kejadian anemia pada ibu hamil setelah diberikan Tablet Fe berdasarkan pemeriksaan HB 2 menunjukkan proporsi ibu yang masih anemia setelah di beri tablet Fe adalah 26,9%. Saran: diharapkan petugas meningkatkan mutu pelayanan KIA dan pemantauan minum tablet Fe. Kata kunci: Pemberian Tablet Fe, anemia, Ibu Hamil
ABSTRACT Name : Debby Rosita Study Program: Magister Of Public Health Title : The Influence of Iron Tablet (Fe) on Anemia in Pregnant Women at Puskesmas Karang Asam of Samarinda City 2015 – 2017 One of the most common nutritional problems in pregnant women is nutritional anemia, which is the largest and most difficult micronutrient problem resolved worldwide. Anemia in pregnant women can have an impact from pregnancy, after birth, school age to adulthood. The purpose of this research is to know the effect of giving iron tablet (Fe) on pregnant mother to the occurrence of anemia in pregnant woman at Puskesmas Kayu Asam Samarinda in 2015 - 2017. The research is done by qualitative and quantitative method (mix method). The quantitative research using the research design Cohort Retrospective quantitative research focused on taking data of iron tablet (Fe), anemia, age, education, occupation, parity and ANC visit. While the type of qualitative research used is sequential eksplanatory research. In this study qualitative research data complement the quantitative data. Processing and data analysis using chi-square test (bivariate). The result of statistic test of ANC age, education, work, parity and visit variables showed that the results did not correlate with anemia statistically. While qualitatively it affects anemia. From the results seen the picture of the incidence of anemia in pregnant women after given Fe tablet based on HB 2 examination showed the proportion of anemic mothers after giving Fe tablet was 26,9%. Suggestion: it is expected that the officer will improve the quality of KIA service and monitor the drinking of Fe tablets. Keywords: Giving of tablet Fe, anemia, Pregnant mother
Rekomendasi kecukupan zat gizi untuk ibu menyusui 2500kkal/hari lebih tinggi dibandingkan ibu hamil 2200kkal/hari. Penelitian di Jakarta dan Depok menunjukkan konsumsi energi laktasi lebih rendah (1959,8kkal/hari) dibandingkan saat hamil (2241,0kkal/hari). Penelitian bertujuan untuk mengetahui Hubungan Karakteristik Individu, Durasi ASI Predominan, Konsumsi Ibu saat Hamil dengan Konsumsi Ibu saat Laktasi di UPTD Puskesmas Margajaya Kota Bekasi tahun 2014. Penelitian ini menggunakan disain cross sectional, pengumpulan data primer dengan kuesioner dan lembar food frequency and amount questionnaire(FAQ). Penghitungan sampel menggunakan rumus uji hipotesis beda 2 proporsi dengan jumlah sampel 60 ibu. Analisis data dilakukan dengan menggunakan uji chi-square. Hasil penelitian bahwa tidak ada hubungan yang bermakna antara pendidikan (p=0,387), pekerjaan (p=0,464), paritas (p=1,000), durasi ASI Predominan (p=0,789), konsumsi saat hamil (p=0,384) dengan penurunan konsumsi saat laktasi. Selain itu hasil menunjukkan ada hubungan antara umur (p=0,021) dengan penurunan konsumsi saat laktasi. Penelitian ini merekomendasikan bahwa perlu untuk melakukan penyuluhan kepada ibu hamil dan laktasi tentang pentingnya mengkonsumsi makanan bergizi sesuai kebutuhannya.
Nutrient intakes adequacy recommendations for lactating mother 2500kcal/day higher than pregnant mother 2200kcal/day. Research at Jakarta and Depok showed that energy consumption during lactation lower (1959,8kcal/day) than during pregnancy (2241,0kcal/day). The purpose of this study was to determine the Relationship Between Individual Characteritic Duration of Predominant Breastfeeding, Pregnant Mother Consumption with Lactating Mother Consumption at UPTD Puskesmas Margajaya Bekasi City in 2014. This research used crosssectional design, sampling was collected through primary data collection by questionnaire and food frequency and amount questionnaire (FAQ). Sampling was calculated by hypothesis test different 2 proportion, 60 mothers. Results of this study showed that there was no significant relationship between education (p=0,387), employment (p=0,464), parity (p=1,000), predominant breastfeeding duration (0,789), pregnancy consumption (p=0,384) with decreasing of lactating consumption. Additionally, the result show relationship between age (p=0,021) with decreasing lactating consumption. Counseling is recommended to pregnant mother and lactating mother about the important to consume nutricous food as the recommendations of nutrient intakes adequacy.