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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
Anemia among adolescent girls remains a public health problem with long-term impacts on maternal health and the health of future generations. One of the efforts to overcome anemia is by improving adherence to iron and folic acid supplementation (TTD). Knowledge about anemia is an important predisposing factor that influences adherence behavior. This study aims to determine the relationship between knowledge of anemia and adherence to TTD consumption among adolescent girls at a senior high school (SMAN) in Sukmajaya District, Depok, in 2024. This study employed a quantitative approach with a cross-sectional design. The study population consisted of all grade XI female students at SMAN in Sukmajaya District, Depok. A total of 190 respondents were selected using proportional random sampling. The research instrument was a questionnaire tested for validity and reliability. Data were analyzed using chi-square tests for bivariate analysis and logistic regression for multivariate analysis. Most respondents had high knowledge about anemia and were adherent to TTD consumption (70.0%). Bivariate analysis showed a significant relationship between anemia knowledge (p = 0.047), self-efficacy (p < 0.001), family support (p < 0.001), teacher support (p < 0.001), peer support (p = 0.013), and health information sources (p = 0.012) with TTD adherence. Multivariate analysis showed an interaction between knowledge and teacher support in relation to TTD adherence (OR = 0.288) respondents who received high teacher support were 0.288 times more likely to be adherent compared to those with low teacher support, after controlling for other variables. Knowledge Knowledge of anemia is significantly associated with adherence to TTD consumption. Preventive and promotive interventions through structured education in schools, involving teachers, families, and cross-sectoral collaboration, are crucial to improving adolescents’ understanding and adherence to TTD consumption.
Angka kejadian anemia pada ibu hamil di puskesmas kecamatan Kemayoran masih tinggi walaupun cakupan ibu hamil yang mendapatkan tablet tambah darah minimal 90 butir selama hamil sudah mencapai 100%. Besarnya suplementasi zat besi juga harus disesuaikan dengan kebutuhan dan kondisi masing-masing ibu. Tidak efektifnya program pemberian TTD untuk menurunkan kejadian anemia kehamilan karena belum adanya media yang efektif untuk memberikan informasi dan edukasi tentang anemia dan TTD. Penelitian ini bertujuan mengetahui efektifitas intervensi pendidikan kesehatan melalui diagram bantu konseling anemia dan pemberian dosis terapi TTD terhadap peningkatan kadar hemoglobin ibu hamil di wilayah puskesmas kecamatan Kemayoran tahun 2019. Penelitian ini merupakan jenis penelitian quasi eksperiment dengan menggunakan desain nonequivalent control group design. Penelitian dilakukan di wilayah puskesmas kecamatan Kemayoran dari rentang waktu Maret - November 2019. Populasi dalam penelitian ini adalah semua ibu hamil di wilayah puskesmas kecamatan kemayoran dan teknik pemilihan sampel dengan cara purposive sampling. Hasil penelitian pengaruh intervensi pendidikan kesehatan melalui diagram bantu konseling anemia dan pemberian dosis terapi TTD terhadap peningkatan kadar hemoglobin ibu hamil di wilayah puskesmas kecamatan Kemayoran tahun 2019 pada analisis bivariat menggunakan uji Anova didapatkan nilai p = 0.0005, hubungan pengetahuan dan kepatuhan mengkosumsi TTD dengan Kadar Hemoglobin didapatkan r=0.288, p value=0.035; r=0.422, p value=0.001. Kesimpulan ada pengaruh intervensi pendidikan kesehatan melalui diagram bantu konseling anemia dan pemberian dosis terapi TTD terhadap peningkatan kadar hemoglobin ibu hamil di wilayah puskesmas kecamatan Kemayoran tahun 2019 (nilai p < 0.05). Semakin tinggi pengetahuan dan kepatuhan mengkonsumsi TTD maka semakin besar kadar hemoglobin.
he incidence of anemia in pregnant women in the Kemayoran Health Centre is still high considering that pregnant women who get iron tablets of at least 90 during pregnant are reaching 100%. The amount of iron supplementation must also be adjusted to the needs and conditions of each mother. Ineffective iron supplementation delivery program for pregnant women to reduce the incidence of anaemia because there is no effective media to provide information and education about anaemia and iron supplementation. This study aims to know the effectivity of health educational intervention through anaemia counseling helping diagram and giving iron suplement therapeutic doses to increasing haemoglobin levels for pregnant women at Kemayoran public health center area in 2019. This study uses a quasi experimental research type using the nonequivalent control group design. The study was conducted in the area of Kemayoran health center from the period March-November 2019. The population in this study were all pregnant women in the area of Kemayoran health center and sample selection techniques by purposive sampling. The results of research on health educational intervention through anaemia counseling helping diagram and giving iron suplement therapeutic doses to increasing haemoglobin levels for pregnant women at Kemayoran public health center in 2019 on bivariate analysis using Anova test obtained p value = 0.0005, the relationship of knowledge and compliance consuming iron suplement with haemoglobin levels obtained r = 0.288, p value = 0.035; r = 0.422, p value = 0.001. Conclusion: there is influence of health educational through anaemia counseling helping diagram and giving iron suplement therapeutic doses to increasing haemoglobin levels for pregnant women at Kemayoran public health center in 2019 (p value <0.05). The higher of knowledge and compliance of consuming iron suplement, the greater the hemoglobin level.
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
