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In order to improve mother and child health care particularly at delivery, support in term of skillful health personnel including private practicing midwives is necessary. High Maternal Mortality Ratio (MMR) and high Infant Mortality Rate (IMR) in Indonesia was mainly occurred at delivery and mostly caused by direct causes called as classical triad namely bleeding, pre-eclampsia, and infection. The 1997 and 1998 data indicated declines on bleeding and pre-eclampsia but an increase figure for infection.
Anemia pada ibu hamil dapat dicegah dengan melakukan perilaku pencegahan anemia yang meliputi makan-makanan bergizi, rutin konsumsi tablet tambah darah, dan rutin melakukan kunjungan Antenatal Care (ANC). Cakupan ANC di Puskesmas Kedungkandang dibawah standar Provinsi Jawa Timur (Cakupan K1 98,2% dan pada K4 89,93%) dan Kota Malang (Cakupan K1 89,10% dan pada K4 84,41%) yaitu pada K1 sebesar 88% dan cakupan K4 sebesar 84%. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan perilaku pencegahan anemia pada ibu hamil di Wilayah Kerja Puskesmas Kedungkandang Kota Malang Tahun 2023. Penelitian ini merupakan penelitian kuantitatif, desain cross sectional pada 115 ibu hamil yang diambil secara proportional random sampling dan dilaksanakan pada bulan Juni-Juli 2023. Pengumpulan data dilakukan melalui wawancara menggunakan kuesioner. Hasil penelitian menunjukkan terdapat hubungan yang signifikan antara faktor predisposisi: pengetahuan (P-value = 0,000) dan sikap (P-value = 0,000), faktor pemungkin: kelas ibu hamil (P-value = 0,012), dan faktor penguat: dukungan suami (P-value = 0,000) dengan perilaku pencegahan anemia pada ibu hamil. Untuk itu, diperlukan upaya peningkatan perilaku pencegahan anemia pada ibu hamil dengan peningkatan pengetahuan, sikap, keikutsertaan dalam kelas ibu hamil dan dukungan suami agar perilaku pencegahan anemia pada ibu hamil semakin baik.
Anemia in pregnant women can be prevented by carrying out anemia prevention behaviors which include eating nutritious foods, routinely consuming blood-boosting tablets, and carrying out routine antenatal care (ANC) visits. ANC coverage at the Kedungkandang Health Center is below the standard for East Java Province (Coverage of K1 98.2% and in K4 89.93%) and Malang City (Coverage of K1 89.10% and in K4 84.41%), namely in K1 it is 88% and K4 coverage of 84%. This study aims to determine the factors related to anemia prevention behavior in pregnant women in the Working Area of the Kedungkandang Health Center, Malang City in 2023. This research is a quantitative study, cross-sectional design on 115 pregnant women who were taken by proportional random sampling and carried out in the month June-July 2023. Data collection was carried out through interviews using a questionnaire. The results showed that there was a significant relationship between predisposing factors: knowledge (P-value = 0.000) and attitudes (P-value = 0.000), enabling factors: class of pregnant women (P-value = 0.012), and reinforcing factors: husband's support ( P-value = 0.000) with anemia prevention behavior in pregnant women. For this reason, efforts are needed to increase anemia prevention behavior in pregnant women by increasing knowledge, attitudes, participation in classes for pregnant women and husband's support so that anemia prevention behavior in pregnant women is getting better.
ARI is one the causes of under five morbidity and mortality throughout the world and one third of the number of under five mortality is a caused by ARI. The results of the Riskesdas in 2018 ARI with Pneumonia were the second largest disease after diarrhea was the cause of various under five mortality. The national prevalence of ARI according to the diagnosis of health personnel 4,4% in all age groups and the prevalence of ARI for infants is 7,8%. The aim of te study was to determine the determinans of ARI preventive behavior in Bukit Harapan Health center area of the North Bengkulu Regency years 2019. Cross sectional study design, the sample size is determined by two proportion test, sampel of 182 respondent, the method of sampling is simple random sampling, methods of collecting interview data using questionnaire, the test used chi square and multiple logistic regression analysis. The resulth of the study were 63,4% of mother behaving well in the prevention of ARI, a description of the predisposing factor in hight obuosity knowladge as much as 44%, the proportion of working mothers as much as 56%, age of the mothers known 69,2%, adults and high income respondents 39,6%. The description of enebling factors (accses to healt facilities) is easy as much as 56% and the description of reinforcement factor (family support) 62,6% of mother who have enough family support.This study proves that age of the mother (p value=0,001 OR= 0,671, 95% CI 2,647-42,593), family support (p value=0,027 OR=5,171, 95% CI 1,206-22,175) and access to health facilities (p value=0,027 OR=4,808, 95% CI 1,194- 19,366) are related to behavioral prevention of ARI, while knowledge, attitudes and work are counfounding variables. The most dominant factor associated whit ARI prevention behavior in infants is the age of the mother (p value 0,001,OR 10,95% CI= 2,647-42,593)
Kata Kunci: Diabetes melitus, rawat jalan tingkat lanjut, rumah sakit, biaya
Diabetes mellitus (DM) is a growing epidemic and the cost of treating diabetes is largely increasing. The objective of this study was to know cost of diabetes among member of JPK PT Jamasostek (Persero) whom attends at out-patient care hospitals in Jakarta, and to know cost comparison of diabetes at out-patient hospital. This study use quantitative research that has descriptive characteristic. From the total diabetes cost components, the cost for medicine represents the largest share (40%-60%), followed by laboratory cost (24%-36%), and consultation cost (10%-12%). The annual mean outpatient cost for each person with diabetes was Rp 400,280-Rp 1,141,372. The cost burden of DM at outpatient care hospitals is 2.2%-6.2% from income per month. That burden could be saved by prevention, earlier detection, and a reduction in diabetes co-morbidities and complications through improved diabetes care. Large scale and cost-effective prevention programs need to be initiated to maximize health gains and to reverse the advance of this epidemic.
Key words: Diabetes mellitus, out-patient, hospital, cost
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