Background: The distribution coverage of Fe tablets in Bebesen Health Center is still very low, even the lowest compared to other health centers in Central Aceh District, namely 12.40% for Fe1 and 10.56% for Fe3. Failure to achieve the distribution target of Fe tablets in the district can increase the prevalence of anemia. However, there is no clear reporting of anemia in pregnant women, let alone data on adherence to consuming Fe tablets. One of the reasons is the weak monitoring, recording, and reporting system of health workers in consuming Fe tablets and the lack of routine Hb level checks. This study aims to evaluate the effectiveness of health promotion strategies for pregnant women on the consumption of Fe tablets in the Bebesen Health Center Work Area. Methods: Experimental research with participatory action research design (PAR). A sample of 44 pregnant women who were in the Bebesen Health Center area with a gestational age of more than 20 weeks or less than 20 weeks but was the first visit and had made a health visit to a health service place in the working area of the Health Center. Data analysis was carried out with SPSS. Version 25, in the form of univariate and bivariate analysis. Results: The promotional strategy applied was effective in changing the mother's behavior in consuming Fe tablets, Zcount = 5.781 (Zcount > 1.96), and p-value = 0.000 (p<0.05). Conclusion: Provision of effective health promotion strategies on consumption behavior of Fe tablets.
ABSTRAK Defisiensi zat besi, terhitung lebih dari separuh kasus adalah penyebab paling umum anemia selama kehamilan. Seorang ibu hamil dengan berat badan 55 kg diperkirakan membutuhkan sekitar 1200 mg zat besi selama kehamilan. Kebutuhan zat besi harian meningkat dari sekitar 0,8 mg pada trimester pertama menjadi 4-5 mg selama trimester kedua dan >6 mg pada trimester ke-3 . World Health Organization (WHO) mendefinisikan anemia sebagai tingkat hemoglobin (Hb) <11 g/dl pada kehamilan dan 10 g/dl postpartum. Berbagai upaya telah dilakukan dalam rangka penanggulangan Anemia dan KEK dalam kehamilan, namun prevalensi kejadiannya masih tinggi. Salah satu dugaan yang menyebabkan kegagalan pemberian tablet besi pada ibu hamil adalah ketersediaan cadangan besi tubuh. Pemberian makanan tambahan pada ibu hamil dengan KEK dan pemberian suplementasi besi folat selama kehamilan menjadi upaya dalam penurunan permasalahan gizi dalam kehamilan di Indonesia. Meningkatnya pengetahuan masyarakat terutama Ibu Hamil tentang pentingnya pemeriksaan dini terjadinya anemia defisiensi besi dan KEK. identifikasi pengetahuan dan penyuluhan Anemia defisiensi besi dan KEk pada pada ibu hamil di Puskesmas Bebesen, Kabupaten Aceh Tengah. Ibu hamil sudah menyadari betapa pentingnya mencegah Anemia defisiensi besi dan KEK melalui kelas pranatal dalam mencegah dan mengurangi angka kematian Ibu dan Anak. Pencegahan anemia defisiensi besi dapat dilakukan melalui kelas prenatal Kata Kunci: Anemia Defisiensi Zat Besi, KEK, Ibu Hamil ABSTRACT Iron deficiency, accounting for more than half of cases, is the most common cause of anemia during pregnancy. A pregnant woman weighing 55 kg is estimated to need about 1200 mg of iron during pregnancy. Daily iron requirements increase from about 0.8 mg in the first trimester to 4-5 mg during the second trimester and >6 mg in the 3rd trimester The World Health Organization (WHO) defines anemia as a hemoglobin (Hb) level <11 g/dl in pregnancy and 10 g/dl postpartum. Various efforts have been made in the context of overcoming anemia and CED in pregnancy, but the prevalence is still high. One of the allegations that causes the failure of giving iron tablets to pregnant women is the availability of body iron reserves. The provision of additional food to pregnant women with SEZ and the provision of iron folate supplementation during pregnancy is an effort to reduce nutritional problems in pregnancy in Indonesia. Increasing public knowledge, especially pregnant women about the importance of early examination of iron deficiency anemia and CED. The method used in this activity is to identify knowledge and counseling on iron deficiency anemia and KEK in pregnant women at the Bebesen Health Center, Kab. Central Aceh. Pregnant women are aware of how important it is to prevent iron deficiency anemia and CED through prenatal classes in preventing and reducing maternal and child mortality. Prevention of iron deficiency anemia can be done through prenatal classes Keywords: Iron Deficiency Anemia, CED, Pregnant Women
Background: There have been 3,087 cases of violence against children, including 852 physical violence, 768 psychological, and 1,848 cases of sexual violence. This figure is quite high. In Central Aceh, in 2019, there were 20 cases of violence against children, while in 2020, there were 22 cases of violence against children consisting of physical, sexual, and psychological violence to child neglect. This study aims to determine the factors associated with violence against children in the family of Kebayakan District, Central Aceh Regency. Methods: The research design was analytically observational with a cross-sectional approach. A total of 62 subjects participated in this study, where the subjects were mothers with children aged 6-15 years. Data analysis was carried out univariate and bivariate in order to determine the factors that play a role in child abuse. Results: There is no relationship between family income (p-value = 0.272 (p> 0.05), there is a relationship between the mother's education (p-value = 0.033 (p <0.05), and there is no relationship between mother's psychological state (p-value = 0.465 (p>0.05) with violence against children in the family Conclusion: A mother’s education is a factor associated with violence against children in the family.
Background: Attention to efforts to reduce neonatal mortality is important because neonatal mortality contributes to 74% of under-five deaths in Aceh. Of all neonatal mortality, 81% occurred in the 0-6 day age group (early neonates). This study aims to determine the analysis of the determinants of early neonatal mortality at the Datu Beru Takengon General Hospital, Central Aceh Regency. Methods: The research design is an observational case-control approach. 84 case subjects and 84 control subjects were included in this study. Univariate, bivariate, and multivariate data analysis was performed to determine the determinants of early neonatal mortality, p<0.05. Results: Asphyxia increases the risk of premature neonatal mortality by 6.8 times. Low birth weight infants increase the risk of early neonatal by 8.4 times. Prematurity increases the risk of early neonatal mortality by 7.1 times. A parity of more than 3 times increases the risk of early neonatal mortality by 8.9 times, and maternal gestational age of fewer than 20 years increases the occurrence of early neonatal mortality by 14.2 times. Conclusion: Asphyxia, low birth weight, prematurity, parity with risk, and a young mother's gestational age are risk factors that contribute to early neonatal mortality.
Background: Data from the World Health Organization (WHO) shows that there are 170 million children worldwide experiencing malnutrition, 3 million of whom leave each year due to malnutrition. Therefore, WHO recommends, all infants need to receive colostrum (first and second day milk) to fight infection and exclusively breastfed for 6 months to ensure adequate nutrition for infants. This study aims to determine the factors that influence the knowledge of midwives about early initiation of breastfeeding in the working area of the Lut Tawar City Health Center, Central Aceh Regency in 2020. Methods: The research method used is an analytical survey method with a cross sectional approach. The population in this study were all midwives in the area. The city health center serves as many as 59 people. The sampling method uses a total sampling technique that uses all members of the population as a sample. Data collection was carried out on November 15-19, 2020. Results: The results showed that respondents aged > 40 years had good knowledge, namely 64.3%, respondents with DIII education had less knowledge, namely 56.8%, respondents who had never attended breastfeeding initiation training 69.6% respondents who did not often do early initiation of breastfeeding have good knowledge that is 63.9%, respondents who do not get information about early initiation of breastfeeding mostly lack of knowledge that is 58.1%. Conclusion: Factors that influence the knowledge of midwives on early initiation of breastfeeding are education and experience participating in training related to early initiation of breastfeeding.
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