Background: Biological and environmental factors play a role in stunting among children under five. Maternal nutrition during pregnancy and child nutrition intake are influenced by the way parents interact with their children. This study aimed to investigate determinants of stunting in children aged 24-59 months in Gorontalo, Indonesia. Subjects and Method: A cross-sectional study was conducted at Hayahaya Village, Western Limboto Sub-district, Gorontalo, Indonesia, from July to October 2019. A sample of 76 children aged 24-59 months was selected randomly. The dependent variable was stunting (height for age <-2 SD). The independent variables were maternal education, family income, parenting style, birth length, birth weight, birth space, and exclusive breastfeeding. The data were obtained from maternal and child health book monitoring and questionnaire. The data were analyzed by a multiple logistic regression.Results: High education level (OR= 0.18; 95% CI= 0.03 to 1.21; p= 0.077) and good parenting style (OR= 0.02; 95% CI= 0.01 to 0.18; p <0.001) decreased the risk of stunting in children aged 24-59 months. Birth space <2 years (OR= 12.62; 95% CI= 1.44 to 110.94; p= 0.022) increased the risk of stunting in children aged 24-59 months, and it was statistically significant. Conclusion:High education level and good parenting style decrease the risk of stunting in children aged 24-59 months. Birth space <2 years increased the risk of stunting in children aged 24-59 months.
Menurut data Perhimpunan Obstetri dan Ginekologi Jakarta (POGI) terdapat 13,75 ibu hamil lebih mudah terinfeksi COVID-19 dibandingkan ibu tidak hamil. Pada kondisi ibu hamil melalui Pregnancy Care (ANC) dikenal istilah kunjungan K1, K2, K3 dan K4, pada masa COVID-19 untuk mengurangi kunjungan ibu hamil pelayanan dilakukan dengan tele-konsultasi. Namun, merancang tele-konsultasi menjadi tantangan tersendiri agar dapat dimanfaatkan oleh semua pihak dan efektif dalam pelaksanaannya. Kebaruan penelitian ini karena peneliti mengangkat masalah telekonsultasi pada asuhan antenatal selama panemi Covid-19. Tujuan penelitian adalah untuk mengeksplorasi pengalaman bidan dalam memberikan asuhan antenatal melalui telekonsultasi selama pandemi COVID 19. Metode studi kualitatif fenomenologis, 8 bidan yang bekerja di Puskesmas Tilongkabila Kabupaten Bone Bolango yang merupakan bidan pelaksana asuhan antenatal. Hasilnya informan mengalami kesulitan dalam berkomunikasi untuk janji temu/teleregistrasi dengan ibu hamil. Ibu hamil tidak menyadari pentingnya memeriksakan kehamilannya dan data yang disampaikan ibu hamil diragukan. Seluruh bidan menjalankan protokol kesehatan saat memberikan asuhan antenatal selama pandemi COVID-19. Tidak adanya pendokumentasian asuhan antenatal melalui media komunikasi sehingga cakupan kunjungan ibu hamil mengalami penurunan dan temuan kecemasan bidan dalam memberikan asuhan antenatal saat ibu hamil datang berkunjung. Kesimpulan bidan masih mengalami kesulitan berkomunikasi untuk janji temu/teleregistrasi dengan ibu hamil. Kata kunci: Antenatal care; COVID-19; Tele konsultasi; Pengalaman bidan. AbstractA phenomenological qualitative study method, 8 midwives who work at the Tilongkabila Health Center, Bone Bolango Regency, an antenatal midwife. According to data from the Jakarta Obstetrics and Gynecology Association (POGI), 13.75 pregnant women are more easily infected with COVID-19 than non-pregnant women. In the condition of pregnant women through Pregnancy Care (ANC), known as K1, K2, K3, and K4 visits, during the COVID-19 period to reduce visits to pregnant women, services are carried out by teleconsultation. However, designing teleconsultations is a challenge in itself so that it can be utilized by all parties and effective in its implementation. The novelty of this study is that researchers raised the issue of teleconsultation in antenatal care during the Covid-19 pandemic. The study aimed to explore midwives' experiences in providing antenatal care through teleconsultation during the COVID-19 pandemic. All midwives follow health protocols when providing antenatal care during the COVID-19 pandemic. As a result, informants had difficulty communicating for appointments/teleregistration with pregnant women. Pregnant women do not realize the importance of checking their pregnancy, and the data submitted by pregnant women is doubtful. There is no documentation of antenatal care through communication media, so the scope of visits to pregnant women has decreased, and the findings of midwife anxiety in providing antenatal care when pregnant women come to visit. Conclusion midwives still have difficulty communicating for appointments/teleregistration with pregnant women. Keywords: Antenatal care; COVID-19; Tele consultation; Midwife experience.
Di Indonesia Tuberkulosis masih menjadi salah satu penyakit yang menimbulkan masalah kesehatan di masyarakat. Tuberkulosis (TB) merupakan penyakit infeksi menular yang disebabkan bakteri Mycrobacterium tuberculosis, yang dapat menyerang berbagai organ, terutama paru-paru. Salah satu factor yang menjadi penyebab utama TB paru yaitu lingkungan. TB akan lebih mudah menular pada orang dengan tempat tinggal yang berada di kawasan perumahan padat penghuni, kurang adanya pencahayaan sinar matahari yang masuk kerumah dan ventilasi serta struktur bangunan rumah yang tidak memadai. Kebaruan kegiatan ini karena melakukan pemberdayaan PMO melalui edukasi penularan serumah dan pemberian vitamin. Tujuan kegiatan ini untuk memberikan solusi yang tepat kepada masyarakat dalam upaya pencegahan penyakit TB paru dan pengendalian terhadap penderita TB paru untuk hidup lebih sehat. Metode kegiatan pengabdian masyarakat berupa Edukasi, pembagian vitamin, leaflet, dan pemberian masker diberikan kepada masyarakat/keluarga penderita TB paru. Hasil kegiatan pengabdian masyarakat ini di peroleh tingkat pengetahuan sebelum dan sesudah edukasi yaitu terdapat peningkatan pengetahuan PMO mengenai Peran PMO dan pengetahuan tentang TB Paru setelah diberikan edukasi dari 7% menjadi 57% memiliki pengetahuan baik. Diperoleh diagram angka kesembuhan penderita TB Paru setelah diberikan vitamin yaitu 53% mencapai angka kesembuhan. Kesimpulan Kegiatan pengabdian masyarakat ini memberikan peningkatan pengetahuan PMO mengenai Peran PMO dan pengetahuan tentang TB Paru.Kata Kunci : Edukasi; Vitamin; TB paru.  Abstract           In Indonesia, Tuberculosis is still one of the diseases that cause health problems in the community. Tuberculosis (TB) is an infectious disease caused by the bacterium Mycrobacterium tuberculosis, which can attack various organs, especially the lungs. One of the factors that are the main cause of pulmonary TB is the environment. TB will be more easily transmitted to people with residences in densely populated residential areas, lack of sunlight entering the house and inadequate ventilation and structure of house buildings. The novelty of this activity is because it empowers PMO through education on household transmission and vitamin administration. The purpose of this activity is to provide the right solution to the community in an effort to prevent pulmonary TB disease and control lung TB sufferers to live healthier lives. Methods of community service activities in the form of education, distribution of vitamins, leaflets, and giving masks are given to the community / family of people with pulmonary TB. The results of this community service activity were obtained by the level of knowledge before and after education, namely there was an increase in PMO knowledge about the Role of PMO and knowledge about Pulmonary TB after being given education from 7% to 57% having good knowledge. A diagram of the cure rate of pulmonary TB patients after being given vitamins was obtained, which was 53% to reach the cure rate. Conclusion This community service activity provides an increase in PMO knowledge about the Role of PMO and knowledge about Pulmonary TB.Keywords: Education; Vitamin; pulmonary tuberculosis.
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