<p><em>The utilization of postpartum maternal services in a complete manner in several regions still has not reached the target that has set by the government. Some factors that affect the coverage of comprehensive postpartum service is mother characteristics. The purpose of this research is to determine the characteristics of mothers who affect the low coverage of comprehensive postpartum service in the working area of Community Health Center of Kayen Kidul in Kediri Regency from January to August year 2019. This research was conducted in September 2019 in the working area of Kayen Kidul Community Health Center of in Kediri Regency. The design of the research used is analytical observational with a case control approach. The sampling techniques used are random sampling clusters. The samples in this study were mothers who had finished their postpartum period (more than 6 weeks to 9 months after giving birth). Independent variables are characteristic of mothers while dependent variables are coverage of the comprehensive postpartum service. Collection of data using data collection sheets with structured interview techniques and medical records in the form of maternal and child health books. Then the data is processed and analyzed univariate, bivariate and multivariate. Statistical results of bivariate statistics showed that the work (P = 0.023), pregnancy complications (P = 0.026), labor complications (P = 0.03) and the type of childbirth (P = 0.01) have an influence on the low coverage of comprehensive postpartum service. Multivariate statistical test results using binomial logistic regression obtained results in the omnibus table having P = 0.006 (P<0.05) which means the model is worth analysed. The significance value in the Hosmer and Lemeshow Test table of 0.074 (p>0.05) has the meaning of acceptable models and hypothesis testing can be performed. The value of Nagelkerke R Square 0.278 means the characteristic mother of age (P = 0.047) and the type of childbirth (P = 0.037) has an effect of 27.8% on the low coverage of the comprehensive postpartum service. The public health policy program should aim to improve the coverage of the comprehensive postpartum service by observing the characteristics of mothers in the region, namely the characteristics of maternal age and type of delivery</em></p><p> </p>
[Bahasa]: Balita termasuk kelompok usia rentan tertular Covid-19 yang cenderung mengalami kondisi kegawatan penyakit tertentu karena sistem kekebalan yang belum matang. Kasus Covid-19 pada balita di Indonesia terus mengalami kenaikan disertai dengan penambahan jumlah kematian pada balita. Hasil pendataan dan analisa situasi di wilayah kerja PMB Rima Rachmawati Kota Kediri menunjukkan terjadinya peningkatan jumlah kunjungan balita sakit usia 2-4 tahun selama pandemi Covid-19. Penyebabnya adalah selama dilakukan pembatasan aktivitas fisik balita di luar rumah membuat ibu memberikan makanan ringan yang dibeli dari luar. Di sisi lain ibu balita kurang mengetahui nutrisi berbahan alam sebagai peningkat imunitas tubuh dan belum memaksimalkan taman herbal di sekitar pemukiman sebagai bahan dasar pengolahan makanan untuk balita. Berdasarkan permasalahan tersebut maka dibentuk Program Timun Emas (Tingkatkan Imunitas Balita Melalui Pemanfaatan Empon-Empon Sebagai Camilan Sehat) di masa pandemi Covid-19 dengan tujuan memberikan edukasi dan pelatihan mengenai konsep nutrisi dan pemanfaatan empon-empon sebagai camilan sehat dalam meningkatkan imunitas balita pada kelompok ibu yang memiliki balita usia 2-4 tahun. Metode yang digunakan dalam pengabdian kepada masyarakat ini adalah sosialisasi, edukasi, dan pelatihan yang meliputi tahap perencanaan, persiapan, pelaksanaan (sosialisasi, edukasi secara daring melalui WAG dengan media video dan e-booklet, pelatihan secara daring melalui WAG dengan media e-booklet dan kegiatan luring dengan metode demonstrasi), dan evaluasi (pengetahuan dengan pretest dan postest dan keterampilan dengan ceklist). Hasil program pengabdian kepada masyarakat ini dapat meningkatkan pengetahuan dan keterampilan kelompok ibu yang memiliki balita usia 2-4 tahun mengenai nutrisi dan pemanfaatan empon-empon sebagai camilan sehat dalam meningkatkan imunitas balita. Program Timun Emas dapat digunakan sebagai salah satu alternatif dalam membantu meningkatkan kesehatan balita selama pandemi Covid-19. Kata Kunci: empon-empon, camilan sehat, imunitas balita, pandemi Covid-19 [English]: Toddlers belong to the age group vulnerable to contracting Covid-19, which tends to experience certain disease conditions due to an immature immune system. Toddlers Covid-19 cases in Indonesia have increased with the addition of the number of deaths in toddlers. The data collection and situation analysis results in PMB Rima Rachmawati Kediri City showed an increase in sick toddlers in the 2-4 year age group during the Covid-19 pandemic. The reason was that their mothers provided snacks bought outside the home during the restricted physical activity of toddlers. On the other hand, there is still a need for knowledge among mothers of toddlers about nutrition made from nature as an immune booster and they need to be maximizing herbal gardens around the settlement as a basic ingredient for food processing for toddlers. Based on these problems, the Timun Emas program was formed during the Covid-19 pandemic to provide education and training on nutritional concepts and use Empon-Empon as a healthy snack to increase toddler immunity in the group of mothers who have toddlers aged 2-4 years. The method used in this community service program was socialization, education, and training which includes planning, preparation, and implementation (socialization, online education through WAG with video media and e-booklets, online training through WAG with e-booklet media and offline activities with demonstration methods), and evaluation (knowledge with pretest and post-test and skills with checklist). The results show that this program can increase the knowledge and skills of groups of mothers who have toddlers aged 2-4 years regarding nutrition and the use of empon-empon as a healthy snack in boosting toddler immunity. Thus the Timun Emas Program can be used as an alternative to help toddler health improvement during the Covid pandemic -19. Keywords: empon-empon, healthy snacks, toddler immunity, Covid-19 pandemic
Preeclampsia is associated with significant pathological changes in maternal and fetal blood vessels and placenta. The purpose of this study is to determine the health behavior and risk factors that affect the incidence of preeclampsia in pregnant women in Obstetric Gynecology Polyclinic of Kediri Regency Hospital. The study design used is descriptive analytic with cross sectional approach. This study was conducted in June-August 2017 in Obstetric Gynecology Polyclinic of Kediri Regency Hospital. The population in this study were all mothers who came to check their pregnancy in Obstetric Gynecology Polyclinic of Kediri Regency Hospital with the number of samples obtained was 181 pregnant women in random sampling. Data were analyzed in univariate, bivariate with chi square and multivariate test with multiple logistic regression test. The result of study showed that there was a correlation between weight gain (p = 0.005) and medical history (p = 0.022) to incidence of preeclampsia while education level, family income, service range, transportation, nutritional status, ANC examination, KIA book ownership, mother age, parity, family history of preeclampsia, obesity, twin pregnancy, gestational interval and gestational diabetes, there is an insignificant relationship. The result of multivariate analysis showed that the weight gain (p = 0.007) and medical history (p = 0.029) had a significant association with the incidence of preeclampsia in pregnant women. Health behaviors and risk factors that affect the incidence of preeclampsia in pregnant women is the increase in maternal weight during pregnancy and medical history suffered by the mother before pregnancy.
Pandemi Covid-19 telah membuat kebijakan penundaan sementara pemeriksaan kehamilan rutin, posyandu dan kelas ibu hamil. Permasalahan tersebut juga terjadi di desa Darungan dengan ditutupnya beberapa layanan kehamilan menyebabkan penurunan jumlah kunjungan ibu hamil sehingga tidak mendapatkan pendidikan dan pelayanan kehamilan yang berpengaruh tingginya kasus komplikasi kebidanan yang terjadi. Oleh karena itu perlu dilaksanakan deteksi dini kehamilan risiko tinggi melalui edukasi dan skrining pada ibu hamil di masa pandemi Covid-19. Kegiatan dilaksanakan sejak tanggal 9 Mei – 11 Juni 2022 yang diawali dari kegiatan perencanaan sampai dengan evaluasi. Jumlah peserta 21 ibu hamil yang ada di desa Darungan. Metode pelaksanaan berupa edukasi pengenalan tanda-tanda bahaya kehamilan dengan metode ceramah, tanya jawab dan diskusi dengan evaluasi menggunakan kuesioner pretest dan posttest. Skrining kehamilan risiko tinggi dengan KSPR dan sosialisasi program layanan kehamilan yang ada di masyarakat. Hasil pemberian edukasi didapatkan adanya peningkatan pengetahuan tentang tanda-tanda bahaya kehamilan pada ibu hamil sedangkan hasil skrining kehamilan menunjukkan terdapat peserta dengan kehamilan risiko tinggi dan sangat tinggi. Diakhiri dengan pengaktifan kembali kegiatan kelas ibu hamil dan posyandu sebagai upaya pelaksanaan deteksi kehamilan risiko tinggi pada ibu hamil di masyarakat.
The trend of acceptors of family planning in Indonesia so far shows less use of long-term contraceptive methods compared to short-term contraceptive methods. This may be due to limited knowledge or information obtained by women of childbearing age couples, so the aim of this study was to determine the relationship between knowledge and participation of women of childbearing age in the use of long-term contraceptive methods. This type of correlation analytic research was a cross-sectional approach that was carried out in May-2012. June 2022. The research population was all female couples of childbearing age who used active contraception in the Petiken hamlet, Petiken village, Driyorejo Gresik District, totaling 345 women with a total sample of 182 women who met the inclusion criteria through simple random sampling. The data collection method was carried out directly with a research instrument in the form of a questionnaire. Data were analyzed using the Chi-Square statistical test. The results showed that knowledge influenced the participation of women of childbearing age in the use of long-term contraceptive methods (P = 0.000). Knowledge is a very important domain in the formation of one's actions so that a good level of knowledge will determine behavior in the use of long-term contraceptive methods.
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