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Breast milk (ASI) is the liquid secreted by the mother's breast glands in the form of natural food or the best nutritious and high-energy milk produced since the mother's pregnancy (Wiji, 2013). Nationally, from the 2017 Ministry of Health data, the coverage of exclusive breastfeeding for babies is 61.33%, but there are still some provinces that have not reached this coverage. This study aims to determine the factors that influence exclusive breastfeeding in Indonesia. This study used a quantitative approach with a cross sectional study design. The results of the study were analyzed using univariate, bivariate, and multivariate analysis. In this study, the results of the bivariate analysis showed that the variables that had a relationship with exclusive breastfeeding were the mother's working status variable (p value 0.013), health facilities during childbirth (p value 0.001), information exposure (p value 0.044), and IMD. (p value 0,000). Broadly speaking, the coverage of exclusive breastfeeding in this study is quite good, amounting to 61.0%. From the results of the multivariate analysis, it was found that the variables that had the most association with exclusive breastfeeding were maternal occupational status and BMI.
ABSTRAK Nama : Marthalia Desy Arisiyanti Program Studi : Ilmu Kesehatan Masyarakat Judul : Determinan Pemilihan Metode Kontrasepsi Pada Wanita Pekerja Informal di Indonesia (Analisis Data Sekunder Susenas 2016) Pembimbing : Dr. Pujiyanto, SKM, M.Kes Kesulitan ekonomi dan tuntutan biaya kehidupan yang semakin tinggi, telah mendorong sebagian besar kaum wanita untuk ikut berperan dalam meningkatkan pendapatan keluarganya. Peran sektor informal menjadi penting, karena kemampuan sektor informal dalam menyerap tenaga kerja dan tidak menuntut keterampilan yang tinggi. Seperti diketahui para pekerja informal ini terkadang tidak memiliki jaminan kesehatan yang dapat membantu mereka mendapatkan pelayanan kesehatan sehingga bisa berdampak terhadap kesehatan mereka. Kesehatan reproduksi para wanita tersebut sangat penting untuk dijaga dan diperhatikan. Salah satu cara untuk menjaga kesehatan reproduksi para wanita pekerja informal tersebut agar bisa lebih baik dan terjaga adalah dengan penggunaan alat kontrasepsi. Penelitian ini bertujuan untuk menganalisis determinan apa saja yang berpengaruh terhadap pemilihan metode kontrasepsi pada wanita pekerja informal di Indonesia tahun 2016. Penelitian ini menggunakan data sekunder Susenas tahun 2016. Analisis data diolah dengan menggunakan pemodelan probit-marginal effect. Hasil penelitian menunjukkan bahwa faktor sosial demografi (variabel pendidikan, umur, lokasi tempat tinggal, jumlah anak dan pendapatan per kapita) dan faktor lingkungan/pelayanan kesehatan (kepemilikan jaminan kesehatan dan akses internet) berpengaruh terhadap pemilihan metode kontrasepsi (non MKJP dan MKJP). Untuk karakteristik pengguna menurut pilihan metode kontrasepsi antara lain wanita pekerja informal pengguna kontrasepsi metode non MKJP cenderung memiliki pendidikan setingkat SMP, berumur < 20 tahun, berdomisili diwilayah pedesaan, memiliki jumlah anak 0 sampai dengan 2 orang, berada pada kuintil 3 (Q3) memiliki rata-rata pendapatan per kapita sebesar Rp627.080 dan tidak mempunyai jaminan kesehatan serta tidak rutin mengakses internet. Sedangkan wanita pekerja informal pengguna kontrasepsi metode MKJP cenderung memiliki pendidikan setingkat D1-S3, berumur 40 – 49 tahun, tinggal di daerah perkotaan, memiliki anak lebih dari 2 orang, berada pada kuintil 5 (Q5) memiliki rata-rata pendapatan per kapita sebesar Rp1.801.073 terdaftar sebagai peserta jaminan kesehatan swasta dan rutin mengakses internet. Kata kunci : kontrasepsi, probit, wanita pekerja informal
ABSTRACT Name : Marthalia Desy Arisiyanti Study Program : Public Health Title : Determinants of Contraceptive Methods Selection on Informal Women Worker in Indonesia (Secondary Data Analysis of Susenas 2016) Counsellor : Dr. Pujiyanto, SKM, M.Kes Economic difficulties and the increase of higher cost of living have encouraged most women to play a role in increasing their family income. The role of the informal sector becomes important, because the ability of the informal sector to absorb labor and not demanding high skills. As we all know that informal workers sometimes does not have health insurance that can help them easily access health care so that it can have an impact on their health. It is very important to maintain these women’s reproductive health in the best way. One way to maintain the reproductive health of these informal female workers in order to be better and safer is by the use of contraceptives. This study aims to analyze the determinants of any effect on the selection of contraceptives on informal female workers in Indonesia in 2016. This study uses secondary data Susenas 2016. Data analysis processed by using multinomial logistic regression modeling. The results showed that social demographic factors (education, age, residence, number of children and income per capita) and environmental factors/health services (ownership of health insurance and internet access) influenced the selection of contraceptive type (traditional, non MKJP and MKJP). For the characteristics of the users according to the choice of contraceptive methods, among others female informal workers of contraceptive methods users non MKJP tend to have junior high school education, aged <20 years, domiciled in rural areas, have the number of children 0 to 2 persons, are in quintile 3 (Q3) per capita income of Rp627,080 and doesn’t have health insurance and does not regularly access the internet. Whereas women informal workers using contraceptive methods of MKJP tend to have a D1-S3 level of education, aged 40-49 years, live in urban areas, have children more than 2 persons, are in quintile 5 (Q5) have an average per capita income of Rp1.801.073 registered as a private health insurance participant and regularly access the internet. Keywords : contraceptive, probit, informal female workers
Tesis ini membahas pemanfaatan pelayanan kesehatan imunisasi dasar di Provinsi Sumatera Selatan dengan menggunakan data sekunder Riskesdas 2007 dan Susenas 2007. Tujuan penelitian ini adalah untuk mengetahui faktor-faktor yang berhubungan dengan pemanfaatan pelayanan kesehatan imunisasi dasar di Provinsi Sumatera Selatan tahun 2007. Penelitian ini merupakan penelitian kuantitatif dengan desain cross sectional. Hasil penelitian menemukan bahwa waktu tempuh ke fasilitas UKBM merupakan faktor yang paling berhubungan dengan pemanfaatan pelayanan kesehatan imunisasi dasar di Provinsi Sumatera Selatan Tahun 2007. Hasil penelitian menyarankan bahwa untuk meningkatkan cakupan pelayanan kesehatan imunisasi dasar diperlukan optimalisasi manajemen posyandu. Kata kunci: Imunisasi Dasar, Pelayanan Kesehatan, UKBM
The focus of this study is the utilization of basic immunization services in South Sumatera Province using secondary data Riskesdas 2007 and Susenas 2007. The purpose of this study is to know the factors relating to the utilization of basic immunization services in South Sumatera Province. This research is a quantitative research methode with cross sectional design. This study found that the access time to the Community Based Health Efforts (UKBM) facility is the dominant factor in the utilization of basic immunization services in South Sumatera Province in 2007. The researcher suggests that Posyandu management as one of the UKBM should be optimized to increase the basic immunization coverage. Key words: Basic Immunization, Health Service, Community Based Health Efforts (UKBM)
Kata Kunci : Angka Kematian Ibu, Ibu hamil, Kesehatan Ibu Hamil, Pendidikan,Dukungan Tenaga Kesehatan, Pekerjaan, Pendapatan, dan Aksesibilitas.
In Indonesia, maternal status is still a major problem in the health sector. One of thebenchmarks to see the level of public health is to measure maternal mortality in theprovince. Maternal Mortality Rate (MMR) is one indicator to see the degree ofwomen's health. Maternal death is also one of the targets set in the millenniumdevelopment goals of the fifth goal to improve maternal health. To see how thehealth of pregnant women can be measured with readiness during pregnancy untilhealthy delivery.Objective: To Know the Determinant Maternal Preparation on Healthy Delivery atBrebes Health Center in Brebes District, Central Java Province 2018.Method: Quantitative research design is cross sectional where data is different anddifferent variable. Sampling technique using Non Probability Sampling isAccidental Sampling with number of 100 samples. Data collection usingquestionnaires and notes in the Maternal and Child Health book.Result: The analysis using Chi-Square test with 95% significance level (α = 0,05)and value show ρ = 0,016 for education of pregnant mother, value ρ = 0,314 forpregnant woman job, value ρ = 0,903 for income family of pregnant women, ρ =0,047 for health service, and p value = 0,783 for mother access to health service.Conclusion: there is a relationship of education with the readiness of mother inchildbirth, there is relation with others, no relation, income and accessibility ofpregnant mother with readiness giving birth at Brebebes Health Center, CentralJava.
Key Words: Maternal Mortality Rate, Pregnant Women, Pregnant Women'sHealth, Education, Medical Devices, Employment, Income, and Accessibility.
Abstrak
Cakupan persalinan dengan tenaga kesehatan di wilayah kerja Puskesmas Lambur Kabupaten Tanjung Jabung Timur baru mencapai 68,75 %. Angka ini masih jauh dari target nasional yaitu 90%. Lima desa dalam wilayah kerja Puskesmas Lambur telah ditempatkan masing-masing satu orang bidan, sementara jumlah dukun bayi yang masih aktif sebanyak 13 orang. Penelitian ini bertujuan untuk mengetahui determinan penolong persalinan oleh ibu bersalin dalam rentang Januari 2012 sampai dengan April 2013. Desain penelitian ini adalah cross sectional dengan jumlah responden 94 orang dan data dianalisis secara univariat, bivariat dengan pendekatan chi square, dan multivariat dengan regresi logistik. Hasil penelitian didapatkan lima variabel yang ada hubungan signifikan dengan pemilihan penolong persalinan yaitu kepercayaan (p=0,021), pengetahuan (p=0,02), sikap (0,003), ketersediaan tenaga (0,03), dan dukungan keluarga (0,000). Faktor yang paling dominan adalah dukungan keluarga dengan Odds Ratio 8,253 dan CI 2,623-25,961. Diharapkan kepada dinas kesehatan dan puskesmas untuk meningkatkan advokasi kepada masyarakat tentang pentingnya pertolongan persalinan dengan tenaga kesehatan serta menerapkan reward and punishment kepada bidan yang melaksanakan pelayanan kesehatan ibu dan anak di desa.