Abstrak: Wanita yang menghadapi menopause termasuk dalam kelompok risiko karena pada kelompok ini terjadi perubahan yang drastis secara fisik, psikis, dan sosial budaya. Usia menopause antara seorang wanita dan wanita lainnya tidaklah sama dan bergantung pada faktor-faktor yang mempengaruhinya. Menopause pada usia lebih dini akan meningkatkan risiko penyakit kardiovaskular, atherosclerosis, stroke, dan osteoporosis. Tujuan penelitian ini untuk mengetahui hubungan usia menarche, paritas, usia melahirkan terakhir, riwayat pemakaian kontrasepsi, riwayat pekerjaan, status gizi, dan riwayat merokok dengan usia menopause pada ibu lansia di Wilayah Kerja Puskesmas Cimanggis Depok tahun 2018. Penelitian ini menggunakan metode survey dengan pendekatan cross sectional. Penelitian telah dilaksanakan pada bulan Mei 2018. Populasi pada penelitian ini adalah seluruh ibu lansia (≥ 60 tahun) yang ada di Wilayah Kerja Puskesmas Cimanggis Depok. Sampel dalam penelitian berjumlah 113 ibu lansia diambil dengan cara cluster sampling. Data dikumpulkan melalui wawancara langsung dengan responden dengan menggunakan kuesioner dan observasi. Data diolah menggunakan komputer dan analisa data dilakukan menggunakan regresi logistik berganda. Hasil penelitian didapatkan ada hubungan yang signifikan antara riwayat merokok dengan dengan usia menopause p value 0,001, OR = 6,80 (95% CI, 2,18- 21,21). Disarankan agar menghindari rokok dan asap rokok, terutama perokok aktif, karena kandungan yang ada dalam rokok bisa mempercepat terjadinya menopause. Terjadinya menopause pada usia yang lebih dini akan lebih berisiko terjadinya gangguan kesehatan pada wanita.
Kata kunci: Usia Menopause, Riwayat Merokok

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Woman who face menopause are included in the risk group because in this group there is a drastic change in physical, psychological, and socio-cultural. The age of menopause between a woman and another woman is not the same and depends on the factors that influence it. Menopause at an earlier age will increase the risk of cardiovascular disease, atherosclerosis, stroke, and osteoporosis. The purpose of this study is discusses the relationship between age of menarche, parity, last childbirth, history of contraception use, job history, nutritional status and history of smoking with age of menopause in elderly mother in Cimanggis Community Health Center Depok 2018. This study use survey method with cross sectional approach. The study was conducted in May 2018. The population in this study were all elderly mothers (≥ 60 years) in Cimanggis Community Health Center Depok. The sample in this study amounted to 113 elderly mothers taken by cluster sampling. Data were collected through direct interviews with respondents using questionnaires and observations. Data is processed using computer and data analysis is done using multiple logistic regression. The result showed that there was a significant correlation between smoking history with age of menopause p value 0,001, OR = 6,80 (95% CI, 2,18-21,21). It is recommended to avoid smoking and cigarette smoke, especially active smokers, because the content in cigarettes can accelerate the occurrence of menopause. The occurrence of menopause at an earlier age will be more at risk of health problems in women.
Key Words: Age of Menopause, Smoking History

Abstrak: Permasalahan gizi seperti anemia pada ibu hamil masih merupakan fokus perhatian dalam pembangunan kesehatan di Indonesia. 40 % kematian ibu di dunia berkaitan dengan anemia pada kehamilan. Laporan Riskesdas tahun 2013 menyebutkan bahwa prevalensi anemia dalam kehamilan di Indonesia sebesar 37,1 %. Penelitian ini bertujuan untuk mengetahui prevalensi anemia dan faktor-faktor yang mempengaruhi kejadian anemia pada ibu hamil di Wilayah Kerja Puskesmas Merdeka Tahun 2017. Penelitian ini merupakan penelitian kuantitatif dengan menggunakan desain potong lintang (cross sectional). Sumber data pada penelitian ini adalah kohort ibu dan register ibu hamil. Teknik pengambilan sampel yang digunakan adalah total sampling dengan jumlah 195 ibu hamil.

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

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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: Complications during pregnancy and childbirth are the second leading cause of death for girls aged 15-19 yeras globally. At Jatinegara Public Health Center, there was an increase in teenage pregnancy in the last three years. This study aims to determine the proportion of teenage pregnancy and factors related to teenage pregnancy in area of Jatinegara Public Health Center, 2017. Implemented in May-June 2017 using croos sectional design. The population is all teenage girls aged 15-19 who are married from june 2016 to May 2017, the sample number of 96 people taken by simple random sampling. Data were collected through structuted interview with questionnare, bivariate analysis with Kai square test. The result obtained 77,1% teenage pregnancy. Related predisposing factors were family income (p value=0.022); knowledge of teenage pregnacy (p value=0.036); attitude towards family planning (p value=0.044). Related reinforcing factors were family support (p value= 0.047); the role of health personnel (p value= 0.040). Related enabling factors were history of sexual behavior (p value=0.033); history of contraceptive use (p value=0.019). Suggestion for Jatinegara public health center to improve the socialization of the planned generation program, the establishment of teenage family depelopment and enhancement of the youth service care program.
Keywords: Teenagers, teenage pregnany

Abstrak: Persalinan oleh tenaga kesehatan merupakan faktor penting dalam upaya menurunkan Angka Kematian Ibu (AKI). Cakupan pertolongan oleh tenaga kesehatan di Kelurahan Cimahpar Wilayah kerja Puskesmas Bogor Utara sebesar 71,9% masih di bawah target SPM. Penelitian ini bertujuan untuk mengetahui faktor-faktor pada ibu bersalin yang berhubungan dengan cakupan pertolongan persalinan oleh tenaga kesehatan di Kelurahan Cimahpar Wilayah kerja Puskesmas Bogor Utara tahun 2015. Desain penelitian yang digunakan adalah cross sectional dengan data primer yang dikumpulkan melalui penyebaran kuesioner kepada 80 responden.

Hasil penelitian menunjukan bahwa 61,3% persalinan ditolong oleh tenaga kesehatan dan 38,8% ditolong oleh tenaga non kesehatan. Dari hasil uji statistik menunjukkan ada hubungan antara tingkat pendidikaan ibu, sikap terhadap pelayanan kesehatan, pendapatan keluarga, dan persepsi kebutuhan kesehatan yang dirasakan dengan pemilihan penolong persalinan. Sedangkan umur, paritas, kunjungan ANC , kepemilikan jaminan kesehatan, dan akses pelayanan kesehatan tidak teridentifikasi berhubungan secara signifikan.

Kata Kunci: Penolong persalinan, tenaga kesehatan, tenaga non Kesehatan

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Deliveries by health professionals is an important factor in efforts to reduce maternal mortality. The scope of deliveries by health professionals in Cimahpar District the Work Area of North Bogor Health Center is 71,9% and still under target.The aim of this study is to find out maternity factors related to selection helper delivery in Cimahpar District the Work Area of North Bogor Health Center 2015. Cross Sectional approach was used with primary data that collected by spread out the questionnaire to 80 respondents.

The results showed that 61,3% of births attended by health professional and 38,8% of births attended by non health professional. From statistic results showed there are relationships between education level, attitude toward health care, family income, and perceptions to need of health service with the utilization of delivery assistance by health professionals. For age, parity, Antenatal Care visit, property insurance, and access of health service, was not significantly associated.
Keywords: Helper delivery, health personnel, non health personnel

Abstrak: IUD merupakan salah satu jenis KB yang dipasang didalam uterus melalui kanalis servikalis, yang diselubungi oleh kawat halus terbuat dari tembaga mengandung hormon Levonorgestrel. Penelitian ini bertujuan untuk mengetahui faktor faktor yang berhubungan dengan penggunaan IUD di Wilayah Kerja Puskesmas Koja Jakarta Utara tahun 2015. Data dikumpulkan melalui kuesioner terpadu dan diolah dengan menggunakan software statistic. Dari hasil uji statistic terdapat dua variabel yang menunjukkan hubungan signifikan dengan penggunaan IUD yaitu variabel pendidikan dengan nilai p=0,000 variabel pengetahuan dengan nilai P=0,036. Perlu edukasi dan promosi dari petugas untuk meningkatkan pengetahuan akseptor.
Kata Kunci: Alat Kontrasepsi dalam Rahim (AKDR); Intra Uterine device (IUD)

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Intra uterine Devices (IUD) is one type of birth control that is placed in the uterus through the cervical canal, which is covered by fine wires made of copper and containing the hormone levonorgestrel. This study aims to determine the factors associated with the use of IUDs in Puskesmas Koja in 2015. Data were collected through questionnaires integrated and processed using statistical software. From the results of the statistical test, there are two variables that showed a significant association with the use of IUD that education variables with p = 0.000 knowledge variables with a P value = 0.036. Keep in education and promotion of officers to increase knowledge acceptor.
Keywords: intrauterine device (IUD); Intrauterine devices (IUDs)