Background and purpose: Low birth weight (LBW) is a major cause of neonatal and infant mortality. The Indonesian Demographic and Health Survey indicated that neonatal mortality rate in East Nusa Tenggara was 26 per 1000 live births, 15% of which were caused by low birth weight. This study aims to understand the relationship between age of mother, birth spacing, chronic energy deficiency, presence of concomitant diseases, employment status, anemia, quality of antenatal care and traditional dietary restrictions on the incidence of LBW in Ende District, East Nusa Tenggara.Methods: A case control study was conducted at Ende District in 2015, with a total of 156 respondents. Cases were mothers giving birth to LBW infant (<2500 gram) and controls were mothers giving birth to normal weight infant (≥2500 gram). Case and control ratio was 1:1. Data were obtained from antenatal care records and interviews. Data were analysed using bivariate analysis and multivariate with logistic regression.Results: This study found that risk factors of LBW include age of mother <20 or ≥35 years (AOR=6.8; 95%CI: 1.87-25.0), traditional dietary restrictions (AOR=6.7; 95%CI: 1.71-26.8), birth spacing <2 years (AOR=6.5; 95%CI: 1.78-24.2), chronic energy deficiency (AOR=5.3; 95%CI: 1.38-21.0), being employe (AOR=4.6; 95%CI: 1.44-14.9), anemia (AOR=4.2; 95%CI: 1.37-13.1), malaria infection (AOR=3.9; 95%CI: 1.21-12.7) and low quality of antenatal care (AOR=3.5; 95%CI: 1.11-11.3).Conclusions: Age of mother <20 or ≥35 years, traditional dietary restrictions, birth spacing <2 years, chronic energy deficiency, maternal occupation, anemia, malaria infection and low quality of antenatal care are risk factors for LBW in the District of Ende.
Pelayanan kesehatan di masa pandemi meninmbulkan banyak tantangan dengan meningkatnya kasus COVID-19 di kalangan lansia. Tingginya jumlah kasus berdampak negatif pada kesehatan mental lansia. Adanya kecemasan akan kejadian COVID-19 menjadi masalah kesehatan mental lansia. Upaya mengatasi kecemasan dapat memberikan dampak positif terhadap peningkatan kesehatan dan kualitas hidup. Penelitian ini bertujuan untuk mengetahui korelasi faktor demografi lansia dengan kualitas dan kecemasan kejadian COVID-19. Metode penelitian yang digunakan yaitu korelasional dengan sampel sebanyak 100 responden dan pengambilan sampel dilakukan secara consecutive sampling dari Februari 2022 sampai Mei 2022. Analisis data menggunakan spearman test. Hasil penelitian diperoleh nilai korelasi faktor demografi responden dengan kecemasan kejadian COVID-19 yaitu nilai p = 0,019 (faktor usia), p = 0,019 (faktor jenis kelamin), p = 0,019 (tingkat pendidikan), p = 0,019 (status pernikahan) dan p = 0,019 (status pekerjaan). Dari hasil tersebut nilai p > 0,05 menunjukkan tidak adanya hubungan antara faktor demografi (usia, jenis kelamin, tingkat pendidikan, status pernikahan, dan pekerjaan) responden dengan kecemasan kejadian COVID-19. Nilai korelasi yang didapatkan dari faktor usia -0,035, jenis kelamin -0,017, status pernikahan -0,055, dan pekerjaan -0,118. Faktor demografi memiliki kekuatan hubungan yang sangat lemah dengan korelasi negatif. Kesimpulan bahwa penting untuk selalu memberikan dukungan fisik, emosional dan psikologis bagi lansia tanpa melihat aspek demografi dan karakteristik lansia serta anjuran untuk lansia untuk melakukan hal-hal positif terkait kesehatan fisik dan mental sehingga kualitas hidup lansia pun semakin meningkat.
This community service aims to empower young women to prevent early reproductive health problems. The methods used in this community service activity are screening, lecture, discussion, simulation and practice. While the stages of problem solving are field observation, problem identification, solution offerings, activity design, implementation, evaluation and monitoring and integration. The results of these activities are age over 14 years (50.0%), menstrual periods up to 4 days (35.5%), changing pads two to 3 times per day (78.9%), height 140 to 150 cm (50.00 %), body weight of 30 to 45 kg (81.6%), the color of milk white mucus (81.6%), the amount of mucus that comes out is small (63.2%) and itching in the genital area is felt occasionally (68.4%). The implementation of community service is expected to produce an outcome in the form of the results of activities in an accredited journal with ISSN.
Background and purpose: Low birth weight (LBW) is a major cause of neonatal and infant mortality. The Indonesian Demographic and Health Survey indicated that neonatal mortality rate in East Nusa Tenggara was 26 per 1000 live births, 15% of which were caused by low birth weight. This study aims to understand the relationship between age of mother, birth spacing, chronic energy deficiency, presence of concomitant diseases, employment status, anemia, quality of antenatal care and traditional dietary restrictions on the incidence of LBW in Ende District, East Nusa Tenggara. Methods: A case control study was conducted at Ende District in 2015, with a total of 156 respondents. Cases were mothers giving birth to LBW infant (<2500 gram) and controls were mothers giving birth to normal weight infant (≥2500 gram). Case and control ratio was 1:1. Data were obtained from antenatal care records and interviews. Data were analysed using bivariate analysis and multivariate with logistic regression. Results: This study found that risk factors of LBW include age of mother <20 or ≥35 years (AOR=6.8; 95%CI: 1.87-25.0), traditional dietary restrictions (AOR=6.7; 95%CI: 1.71-26.8), birth spacing <2 years (AOR=6.5; 95%CI: 1.78-24.2), chronic energy deficiency (AOR=5.3; 95%CI: 1.38-21.0), being employe (AOR=4.6; 95%CI: 1.44-14.9), anemia (AOR=4.2; 95%CI: 1.37-13.1), malaria infection (AOR=3.9; 95%CI: 1.21-12.7) and low quality of antenatal care (AOR=3.5; 95%CI: 1.11-11.3). Conclusions: Age of mother <20 or ≥35 years, traditional dietary restrictions, birth spacing <2 years, chronic energy deficiency, maternal occupation, anemia, malaria infection and low quality of antenatal care are risk factors for LBW in the District of Ende.
ABSTRAK Peserta KB aktif dan akseptor KB baru di kabupaten Ende 53,2 %, lebih memilih menggunakan alat kontrasepsi hormonal sedangkan pemilihan alat kontrasepsi lain berada dibawah 20%. Alat kontrasepsi suntik yang paling banyak digunakan, berikutnya implant dan pil. Akseptor yang mengalami efek samping kenaikan berat badan dan hipertensi 32 orang (11,03%), dan akseptor terbanyak berada di Puskesmas pembantu Tanjung. Tujuan pengabdian masyarakat ini adalah pemberdayaan akseptor dan kader kesehatan mengenal efek samping penggunaan kontrasepsi hormonal, dimana sasarannya adalah kader dan akseptor. Metode yang digunakan adalah screening,ceramah, diskusi, simulasi dan praktikum oleh khalayak sasaran. Hasil pengabdian masyarakat menunjukan semua akseptor memiliki pengetahuan baik (83,33%) pada pretest sedangkan posttest (100%) namun belum tahu tentang lama penggunaan kontrasepsi hormonal baik secara suntik, implant dan pil. Keterampilan yang dicapai adalah semua kader dan akseptor 28 orang (100%) dapat mengukur tinggi badan, menimbang berat badan, dan mengukur tekanan darah. Diharapkan pengamatan yang intensif dari bidan Pustu Tanjung dan dapat diperdaya oleh kader KB untuk membantu mengawasi efek samping kontrasepsi hormonal. Kunci : Pemberdayaan akseptor dan kader, efek samping kontrasepsi hormonal. ABSTRACT 53.2% of active family planning participants and new family planning acceptors in the Ende district prefer to use hormonal contraceptives while the choice of other contraceptives is below 20%. The most widely used injectable contraceptives are implants and pills. There were 32 acceptors who experienced side effects of weight gain and hypertension (11.03%), and the most acceptors were in the Tanjung auxiliary health center. Research in Kumasi sub-district, Ghana, India, because some acceptors experienced long and heavy menstruation, spotting, no menstruation, and vaginal discharge so they were afraid of modern contraceptive methods (Kimberly Daniels, 2015). The aim of this community service is to empower acceptors and health cadres to recognize the side effects of using hormonal contraceptives, where the targets are cadres and acceptors. The methods used are screening, lectures, discussions, simulations, and practicum by the target audience. The results of community service show that all acceptors have good knowledge (83.33%) at pretest while posttest (100%), but they do not know about the length of time using hormonal contraceptives both by injection, implant, and pill. The skill achieved is that all 28 cadres and acceptors (100%) can measure height, weight body weight, and measure blood pressure. It is hoped that intensive observation from the midwife of Pustu Tanjung and the family planning cadres can help to monitor the side effects of hormonal contraception. Keywords: Empowerment of acceptors and cadres, side effects of hormonal contraception.
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