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Nama : Lisnawati Hutagalung Program studi : Magister Ilmu Kesehatan Masyarakat Judul : Pelaksanaan Perawatan Metode Kanguru Oleh Ibu Pasca Perawatan di Rumah Sakit Umum Daerah Umum Koja Jakarta Utara Tahun 2017 ABSTRAK Perawatan Metode Kanguru (PMK) merupakan perawatan yang diberikan kepada berat bayi lahir rendah (BBLR) dengan cara melakukan kontak langsung antara kulit ibu dan kulit bayi. RSUD Koja merupakan rumah sakit pemerintah yang sudah melaksanakan PMK sejak tahun 2013. Penelitian ini bertujuan menganalisis pelaksanaan perawatan metode kanguru oleh ibu pasca perawatan di rumah sakit. Penelitian menggunakan metode kualitatif desain Rapid Asessment Procedure pada bulan Mei sampai Juni. Informan adalah ibu melahirkan bayi dengan berat lahir <2200 gram, memperoleh edukasi PMK dan sudah melaksanakan PMK di rumah sakit. Hasil penelitian pengetahuan baik tentang definisi, manfaat dan posisi PMK. Ibu mendukung mudah menggunakan PMK. Faktor yang mempengaruhi ibu menerima melaksanakan PMK adalah peran petugas kesehatan. Sebagian besar ibu tidak rutin melaksanakan PMK di rumah karena pekerjaan rumah. Sebagian ibu tidak kontrol ulang kedua sesuai jadwal yang ditentukan. Memberikan edukasi kepada ibu dan keluarga tentang peranan keluarga menggantikan ibu melaksanakan PMK. Kata Kunci: kontrol, perawatan metode kanguru, pulang
Name : Lisnawati Hutagalung Study Program : Magister Ilmu Kesehatan Masyarakat Title : Implementation of Kangaroo Mother Care By Mother Post Care in RSUD Koja North Jakarta 2017 ABSTACT Kangaroo Mother Care (KMC) is a treatment which is given to low birth weight (LBW) by direct contact from mother skin to baby. RSUD Koja is one of government hospital who had implemented KMC since 2013. This aim of this study was to analyze the implementation of treatment of KMC by post-hospital treatment mother in hospital. This study used qualitative design, with Rapid Assessment Procedure approach from May to June. The informant of this study was mother who gave a birth <2200 gram, received education and practiced about KMC. The result of this study was mother’s knowledge good about definition, benefits and position of KMC. Mother favorable easy use of KMC. Most decision maker was mother. Factor affect mothers received KMC are the role of health workers. Most mothers did’t routine implemented KMC in their home because of homework. Some mothers didn’t come back for the second time medical check-up according to the schedule. Given education to mothers and families about the role of families to replace implementation KMC. Keyword: control; cangaroo mother care; discharge
Penelitian ini bertujuan untuk mengetahui determinan perilaku penggunaan kontrasepsi pasca persalinan, dengan desain kasus kontrol. Hasil penelitian menunjukkan bahwa faktor yang berhubungan dengan penggunaan kontrasepsi pasca persalinan diwilayah kerja Puskesmas Air Dingin Kecamatan Koto Tangah Kota Padang Sumatera Barat tahun 2011 adalah otonomi memutuskan fertilitas dn KB, konseling, dan akses sarana pelayanan KB. Faktor paling dominan mempengaruhi perilaku penggunaan kontrasepsi pasca persalinan adalah otonomi responden. Disarankan untuk meningkatkan kualitas pelayanan ANC dan nifas dengan memberikan KIE dan konseling tentang fertilitas pasca persalinan, kontrasepsi untuk ibu menyusui dan Metode Amenore Laktasi (LAM). Serta meningkatkan dukungan suami dengan melibatkan suami dalam kunjungan ANC dan nifas. Kata kunci: Kontrasepsi pasca persalinan, KB, otonomi dan konseling
This study aim was to assess the behavioral determinants contracepted use postpartum, using case-control design. The results showed that factors associated with postpartum contraceptive use in was the autonomy to decide both fertility and family planning, counseling, and access to means of family planning services. The most dominant factor influencing the behavior of postpartum contraceptive use was the autonomy of the respondent. To increase the use of postpartum behavior it was suggested to improve the quality of ante natal and postnatal care by providing IEC and counseling on postpartum fertility, contraception for breastfeeding mothers including Lactation Amenorrhea Method (LAM). In addtion it is implementive improve husband support by enganging in ANC and postpartum visits. Key words: Postpartum contraception, family planning, autonomy and counseling
ABSTRAK Visi pcmbangunan kesehatan di Kota Bandung adalah tercapainya Kclurahan Sehat tahun 2005, Kecamatan Sehat 2006 clan Bandlmg Sehat 2007. Dalam kenyataannya hingga tahun 2005, cakupan rumah tangga sehat masih l4,14% sehingga pencapaian kelurahan kelurahan sehat hanya sebanyak 6,46% di Kota Bandung. Permasalahannya antara lain karena perilaku masyarakat yang kurang mendukung pola hidup bcrsih dan sehat. Pcnelitian Lentang penyebab rendahnya cakupan kelumhan sehat yang dihubungkan dengan faktor-faktor yang mcnyebabkan terbentuknya perilaku kesehatan masyarakat, selarna ini belum pemah dilakukan. Pcnelitian ini menggunakan rancangan suvei (cross sectional), dengan sampel sebanyak 192 rumah tangga yang terpilih secara random berdasarkan metode klaster. Unit analisisnya adalah ibu rumah tangga dengan kriteria inklusi mempmmyai anak usia 6 bulan - 5 tahun dan bersedia ikut penelitian. ' ' Hasil uji univaniat menunjukkan bahwa gambaran perilaku masyarakat yang sudah baik scbesar 64,6% dan kumng baik 35,4%. Hasil uji bivariat menunjukkan faktor predisposisi yang berhubungan bennakna adalah pendidikan, status ekonomi, pcngetahuan dan sikap; Faktor pemungkin yang berhubungan berrnakna adalah kctersediaan fasilitas kesehatan, ketcrscdiaan biaya kesehatan dan komitmen terhadap kesehatan; Faktor pcnguat yang berhubungan bermakna adalah dukungan pctugas puskesmas dan dukungan forum masyarakat. Sikap ibu merupakan variabel yang paling dominan pada komposit indikator perilaku masyarakat dalam mewujudkan kelurahan schat. Adapun pendidikan; status ekonomi; pengetahuan; sikap; dukungan petugas puskesmas; dukungan forum masyarakat merupakan variabcl yang paling dominan berhubungan dengan masing- masing indikator dari perilaku masyarakat dalam mewujudkan kelurahan sehat. Mengacu pada kcsimpulan tersebut, penulis mengajukan beberapa saran sebagai berikut: 1) Mcningkatkan Advokasi kepada pemerintah legislatif, donor agency, LSM, PT, organisasi masyarakat untuk dukungan kebijakan dan alokasi anggaran; 2) Menjalin kemitraan dengan mitra potensial untuk mengatasi masalah bidang kesehatan seperli LSM dan media massa; 3) Melalcukan standarisasi ketenagaan promosi keseharan; 4) Melakukan evaluasi perilaku sehat masyarakat melalui kegiatan pembinaan rutin dan peningkatan sistem pencatatan dan pelaporan.
ABSTRACT The vision of healthy development in Bandung 2006 is to achieve Healthy Sub District 2005, Healthy District 2006, and Healthy Bandung 2007. In reality, until 2005, only achieving of scope of healthy homes about l4,l4% and 6,46% healthy sub district in Bandung. This problem is caused by the behaviour of community with less supporting for health and neat life pattern. The research about the motive of low achieving healthy sub district that is related with factors of behaviour that contribute to perform community health behaviour, during this time is never done. This research uses survey planning (cross sectional), with mother sample having child have age 6 months - 5 years counted 192 homes in selected sub district by cluster sampling methode. U The results of univariate test indicates that the portrayal of health community behaviour about 64,6% and 35,4% of community less supporting for health and neat life pattern. The results of bivariatc tests indicates that predisposing factors which significantly related are education, economic status, knowledge and attitude; Enabling factors significantly related are availability of health facilities, availability of health cost and commitment to health; Reinforing factors which significantly related are public health centre officer support and public forum support. Mother attitude represent dominant factor is significantly relation with composit community behaviour indicator in order to achieve healthy sub district. Education; economic status; knowledge; attitude; public health centre ofiicer support; public fomm support represent dominant factor is signilicantly relation with each community behaviour indicator in order to achieve healthy sub district. As according to the conclusion, writer raise some the following suggestion 1 1) Increasing advocacy to legistlatif government, agency donor, public independent agency, education institute and public origanization for health administrative and budget support; 2) Building partnership with potential partner such as public independent agency and mass media to influence a health problem; 3) Standarization for health promotion officer; 4) Evaluating community health behaviour through monitoring, reporting and recording system.
In 2009, the Government published the Bogor Area Regulations No. 12 about the area Without Smoking (KTR). Based on observations, there are still many smokers in the area set out in the regulatory area. Study of a quantitative approach with cross-sectional. The samples are households in the whole area of the city, which was taken by the method of multistage cluster random sampling. The number of samples as much as 300 households. As a result, society Bogor City looked at the implementation of KTR at public places order has not been effective. Analysis showed the number of smokers in public places associated with exposure illumination KTR, lack of rebuke from others, supervision officers, the presence of advertising cigarettes, and the existence of a seller of cigarettes (p <0,05). To be more makes effective regional regulation would require priorities different in its implementations in every place into KTR.
