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Tujuan penelitian ini adalah mengetahui prevalensi dan faktor penentu terjadinya anemia pada ibu hamil. Desain penelitian menggunakan cross sectional. Sampel penelitian ini adalah ibu hamil yang berada di wilayah kerja UPT Puskesmas Kecamatan Sukmajaya dan sudah mendapatkan tablet penambah darah, berjumlah 210 ibu hamil. Pengambilan sampel dilakukan secara probability sampling melalui cluster sampling. Waktu penelitian April-Mei 2011, dengan teknik wawancara dan menggunakan kuesioner. Penelitian ini menggunakan analisis univariat, bivariat (chi square), dan multivariat (regresi logistik model prediksi). Dari hasil penelitian diketahui bahwa prevalensi kejadian anemia ibu hamil di wilayah kerja UPT Puskesmas Kecamatan Sukmajaya sebesar 52,9%. Hipotesis tentang perbedaan proporsi ibu hamil yang bermakna terdapat pada variabel pendidikan, jarak kelahiran, kelompok heme, dan suplementasi tablet. Variabel yang paling dominan menentukan kejadian anemia adalah kelompok bahan heme setelah dikontrol oleh pendidikan, suplementasi tablet Fe, pendapatan, pekerjaan, pengetahuan dan jarak. Saran pada penelitian ini adalah perlu koordinasi lintas sektor dan program untuk menanggulangi anemia ibu hamil, peningkatan kemampuan petugas tentang upaya promotif dan preventif serta konseling tentang gizi, mengembangkan kartu monitoring tablet Fe serta menetapkan pemeriksaan kadar Hb sebagai standar pelayanan yang wajib pada ibu hamil kunjungan pertama untuk deteksi resiko anemia. Kata Kunci: Anemia, Ibu Hamil
This study aims to describe the prevalence and determinants of anemia in pregnant women. Design of the study is cross-sectional. The sample in this study is 210 pregnant women residing in the region of UPT Puskesmas Kecamatan Sukmajaya and had iron tablet. The sampling technique is probability sampling with cluster sampling. The time of research is from April to May 2011, with interview techniques and using questionnaires. The analysis uses univariate, bivariate (chi square) and multivariate (logistic regression prediction model). The results are the prevalence of anemia pregnant women in the region UPT Puskesmas Kecamtan Sukmajaya 52.9%. Hypotheses about differences in the proportion of pregnant women are significantly present in the variable education, birth spacing, the heme group, and supplemental tablets. The most dominant variable determining the incidence of anemia is the heme group that is controlled by education, iron supplementation tablets, income, employment, knowledge and spacing of pregnancy. This research suggests the need of coordination across sectors and programs to combat anemia of pregnancy, increased the ability of officers on promotive and preventive as well as counseling on nutrition, developing a monitoring card Fe tablets, and to set examination Hb as the standard of antenatal care that must be check on the first visit of pregnant women for the detection of the risk of anemia. Keywords: Anemia, Pregnant Women
Latar Belakang. Wilayah Depok menduduki posisi lokasi fokus stunting, salah satunya di Kelurahan Sawangan. Berdasarkan pengolahan data awal, diketahui prevalensi stunting meningkat dari 6,29% menjadi 7,29% dan menduduki peringkat ke-2 se kota Depok.
Tujuan. Mengetahui Gambaran Pola Asuh Ibu balita stunting (0-59 bulan) di Wilayah kerja UPTD Puskesmas Sawangan Depok Tahun 2024.
Metode. Penelitian kualitatif dengan pendekatan studi kasus melalui wawancara mendalam secara tatap muka dan observasi. Sampel dipilih secara purposive sampling sesuai kriteria inklusi dan eksklusi dengan 6 informan utama yang memiliki balita stunting 0-59 bulan, informan keluarga, serta informan kunci terdiri dari, Tenaga Pelaksana Gizi, Bidan, Ketua kader dan kader posyandu.
Hasil. Hasil penelitian terhadap informan utama dengan balita stunting menunjukkan bahwa sebagian besar ibu tidak memberikan ASI Eksklusif kepada anaknya, memberikan makan dengan frekuensi yang kurang, variasi makanan tidak beragam karena anak banyak diberikan camilan. Selain itu, ibu dengan anak stunting juga mendapatkan dukungan psikososial yang rendah serta rendahnya partisipasi ke Posyandu.
Kesimpulan. Terdapat faktor pola asuh yang mempengaruhi naiknya prevalesi stunting di wilayah Puskesmas Sawangan .
Background. The Depok area occupies a stunting focus location, one of which is Sawangan Village. Based on preliminary data collection, it is known that the prevalence of stunting has increased from 6.29% to 7.29% and is ranked 2nd in Depok City. Objective. Find out the description of parenting patterns for mothers of stunted toddlers (0-59 months) in the UPTD work area of the Sawangan Community Health Center, Depok in 2024. Method. Qualitative research with a case study approach through in-depth face-to-face interviews and observations. The sample was selected using purposive sampling according to the inclusion and exclusion criteria with 6 main informants who had stunted toddlers aged 0-59 months, family informants, and key informants consisting of nutrition workers, midwives, cadre heads and posyandu cadres. Results. The results of research on key informants with stunted toddlers show that the majority of mothers do not give exclusive breast milk to their children, provide food with less frequency, the variety of food is not diverse because the children are given lots of snacks. Apart from that, mothers with stunted children also receive low psychosocial support and low participation in Posyandu. Conclusion. There are parenting style factors that influence the increase in stunting prevalence in the Sawangan Community Health Center area.
Stunting is often associated with a lack of purchasing power due to poor economic conditions. However, according to data found by researchers, 46 of the 50 toddlers who experienced stunting in Depok Jaya Village came from families with a middle to upper economic level. The aim of the research is to find out the description of the parenting patterns of mothers with middle to upper economic status for stunted toddlers at the Depok Jaya Community Health Center. This research uses a qualitative approach. Data collection techniques were in-depth interviews with main informants, namely 10 mothers of toddlers, key informants namely TPG, midwives, cadre heads and cadres, family informants namely 10 caregivers/closest family of mothers of toddlers. Offline data collection. The results of the study were that some did not have IMD and exclusive breastfeeding for 6 months. Some give their first MPASI to children in the form of manufactured instant porridge, the frequency of giving animal protein sources is only 1-2 times a week with portions that are not in accordance with WHO recommendations, they have not introduced carbohydrates or animal protein to toddlers when they first give MPASI, children do not like vegetables green, and an irregular MPASI feeding schedule every day. Some toddlers are given snacks without considering the nutritional content and dangers of sugar. Some conditions that divert a child's attention while eating are an invitation to play from an older sibling or a neighbor's child suddenly inviting him to play, the sound of a device, and the arrival of guests or the presence of strangers. Some did not measure their children's weight and height at the posyandu during the Covid-19 pandemic, and deliberately did not come to the posyandu regularly because they were lazy and in denial about their child's condition being declared stunted. Some rarely interact with their children because they are busy working and looking after their youngest children, rarely take their children to play and socialize outside the house, and rarely buy them toys. Suggestions are that community health centers can create promotional targets that are focused on the closest families of mothers of toddlers so that they can play an active role in supporting the feeding and health care of toddlers, increase the knowledge of posyandu cadres by recalling stunting information to prevent providing inappropriate information to mothers of toddlers at the next posyandu, design routine stunting education for mothers of toddlers regardless of the toddler's health status.
