AbstrakPrevalensi panjang badan lahir pendek di Indonesia masih tinggi dan menjadi masalah kesehatan masyarakat yang disebabkan oleh pelbagai faktor secara langsung dan tidak langsung serta berdampak luas dan berkelanjutan dalam siklus kehidupan. Penelitian menggunakan data Riset Kesehatan Dasar (Riskesdas) 2013 dengan pendekatan potong lintang bertujuan mengetahui mekanisme hubungan berbagai variabel laten terhadap prevalensi panjang badan lahir pendek. Sampel adalah 497 kabupaten yang diagregat dari data individu, yaitu anak lahir dari ibu berusia 15 hingga 49 tahun dengan kriteria anak kandung dan lahir tunggal. Pemodelan menggunakan Structural Equation Modelling. Kehamilan berisiko tinggi berhubungan positif langsung dengan prevalensi panjang badan lahir pendek (r = 0,279; nilai p = 0,014). Pemanfaatan pelayanan kesehatan berhubungan positif tidak langsung dengan prevalensi panjang badan lahir pendek melalui kehamilan berisiko tinggi (r = 0,135; nilai p = 0,029). Sosial ekonomi tidak berhubungan signifikan dengan prevalensi panjang badan lahir pendek (r = -0,087; nilai p = 0,156), namun akan berhubungan bila melalui mekanisme hubungan pemanfaatan pelayanan kesehatan (r = 0,653; nilai p = 0,0001) dan kehamilan berisiko tinggi (r = 0,759; nilai p = 0,0001). Upaya intervensi perlu difokuskan pada pencegahan kehamilan berisiko tinggi melalui perbaikan status gizi dan kesehatan ibu sejak usia remaja untuk menurunkan prevalensi panjang badan lahir pendek. Kata kunci: Kehamilan, panjang badan lahir pendek, siklus kehidupan AbstractThe prevalence of short birth length in Indonesia still high and it becomes a public health problem caused by any direct and indirect factors as well as having a wide and sustainable effect in life cycle. The study used Basic health system (Riskesdas) 2013 data with a cross-sectional approach aiming to find out the mechanism of the relation between any latent variables to the short birth length prevalence. Samples were 497 districts aggregated from individual data that were children children born by 15 -49 year-old mothers with biological children and single birth criteria. The modelling used Structural Equation Modeling. High-risk pregnancy had a direct positive relation with the prevalence of short birth length (r = 0.279; p value= 0.014). The use of health services had an indirect positive relation with short birth length prevalence through high-risk pregnancy (r = 0.135; p value= 0.029). Social economy did not have any significant relation with the prevalence of short birth length (r = -0.087; p value = 0.156), but would be related if through the mechanism of health service use (r = 0.653 ; p value = 0.0001) and high-risk pregnancy (r = 0.759 ; p value = 0.0001). Efforts of intervention need to be focused on prevention of high-risk pregnancy through improvement of nutritional and health status of mothers since teenager in order to reduce short birth length prevalence. Keywords: Pregnancy, short birth length, life cycle PendahuluanPeriode 1.000 hari pertama kehidupan sejak janin berada...
Stunting is a linear growth disorder considered as a serious health problem in Indonesia, where its prevalence is related to maternal and child health (MCH) services. This study aimed to compare the coverage of maternal and child health services between two surveys and analyze how they relate to the prevalence of stunting. The study used aggregate data from the 2013 and 2018 Basic Health Research Reports using a cross-sectional approach. The research sample spanned to 34 provinces in Indonesia. Stunting prevalence was taken as aggregate data from individuals based on height-for-age z-scores (HAZ). The independent variable was the achievement of MCH service indicators. Data analysis used variance measures, correlations, simple linear regression, and paired T-tests. The results found variations in the prevalence of stunting, with 25.4% in 2013 and 25.1% in 2018. There was a 7.4% decrease in severe stunting prevalence between 2013 and 2018, but the decrease was not significant (p = 0.506). The analysis results of the 2013 Basic Health Research showed that MCH service indicators related to stunting prevalence were coverage of antenatal care, iron consumption, delivery by health personnel, delivery in health facilities, postpartum maternal health services, low birth weight (LBW) prevalence, neonatal examination, complete immunization, health card ownership, and growth monitoring. The analysis results of the 2018 Basic Health Research showed that MCH indicators were related to the prevalence of antenatal care coverage, delivery by health personnel, and delivery in health facilities, postpartum maternal health services, LBW prevalence, neonatal examination, and complete immunization. There was a significant increase in the coverage of MCH services from 2013 and 2018 (p < 0.0001), except for the coverage of Fe tablet consumption, the prevalence of stunted birth babies, ownership of health cards, provision of vitamin A, and provision of colostrum. The better the coverage of MCH services, the lower the stunting prevalence. Efforts to improve the MCH service programs are required to reduce the prevalence of stunting for Indonesian children. Keywords: stunting, children under five years old, coverage of maternal and child health services
Women of reproductive age in Indonesia are estimated to be 55% experienced pain during menstruation. The impact of dysmenorrhea is alarming to women's comfort. Even about 10% of women who experience menstrual pain can not follow daily activities. The results of the initial survey found that students who experience dysmenorrhea on average do not know how to handle/overcome pain during menstruationknowing the effect of finger gymnastics therapy on the decrease of pain Dismenore on schoolgirl SMKN 07 Kota Bengkulu. This research uses a research type of pre-experiment pre-post test. The samples of this research are all students who experienced disminore in SMKN 07 Kota Bengkulu as many as 30 people. Data collection using observation sheet. Statistical analysis using t-test. The results showed that the average of pain group intensity of hand-held finger therapy was 1.67 which included mild pain, the mean value of pain intensity in the control group was 3.53 which included mild pain leading to moderate pain. Significantly related groups of hand-held finger therapy. The results of this study are expected to be used as one of the efforts to overcome disminore on SMKN 07 Kota Bengkulu through community service activities.
Cervical cancer is a disease with the highest cases in the world. Primary services with cervical cancer screening use IVA tests as a form of promotion and preventive health services. Health BPJS provides guarantees to participants who have performed cervical cancer screening without fees. The coverage of cervical cancer screening in Bengkulu City is 1.44%, while the WHO target is 80%. This study aims to analyze the implementation of the BPJS health service system in cervical cancer screening in Bengkulu City in 2017. The method used in this study is descriptive with a qualitative approach. Subjects or informants in this study were BPJS staff in the Primary Services section, Head of P2M Section of the Health Office, a program implementing midwives in the Puskesmas, health BPJS participants who have performed cervical cancer screening. Data collection techniques use in-depth interviews. Data processing is done by describing the contents. The results showed that the implementation of cervical cancer screening was not optimal. The implementing staff is not by the rules that are determined, the limitations of cryotherapy equipment are only found in one puskesmas, there is no specific funding source provided for program development, and monitoring activities are only carried out once a year. Suggestions for relevant institutions to be able to increase the number of implementing personnel through training so that implementation is more optimal, and implementing officers can increase socialization, counseling, and collaborate with influential parties in order to increase the coverage of cervical cancer screening.
Prevalensi dismenore Menurut data World Health Organization (WHO) didapatkan kejadian sebesar 1.769.425 jiwa (90%) wanita yang mengalami dismenore dengan 10-15 % mengalami dismenore berat . Penatalaksanaan nyeri dapat dilakukan secara farmakologi dan non farmakologi, secara nonfarmakologi salah satunya dengan aromaterapi. Penelitian ini bertujuan untuk mengetahui Perbedaan Pemberian Aromaterapi Lemon dan Aromaterapi Lavender terhadap nyeri haid (dismenore) pada remaja putri di wilayah kerja Puskesmas Kuala Lempuing Kota Bengkulu. Jenis penelitian ini adalah Quasi Eksperimen dengan rancangan metode penelitian two group pretest-postest. Populasi dalam penelitian ini adalah remaja putri usia 15-19 tahun yang mengalami dismenore berjumlah 45 orang di wilayah kerja Puskesmas Kuala Lempuing Kota Bengkulu, dengan pengambilan sampel menggunakan rumus lemeshow sehingga didapatkan 30 orang responden yang akan diteliti, teknik sampling yang digunakan adalah purposive sampling. Instrumen penelitian menggunakan lembar ceklist NRC (Numeric Rating Scale). Analisis data menggunakan uji Wilcoxon dan uji Mann-Whitney. Hasil uji wilcoxon menunjukkan nilai p-value 0,000 (<0,05) artinya terdapat perbedaan tingkat nyeri dismenore setelah pemberian aromaterapi lemon dan hasil Wilcoxon pada kelompok aromaterapi lavender menunjukkan nilai p-value 0,000(<0,05) artinya terdapat perbedaan tingkat nyeri dismenore setelah pemberian aromaterapi lavender. Hasil analisis uji Mann-Whitney didapatkan nilai P-value 0,273 (>0,005) dari hasil diatas diketahui bahwa tidak ada perbedaan pemberian aromaterapi lemon dan aromaterapi lavender terhadap tingkat nyeri dismenore pada remaja putri. Diharapkan remaja putri di wilayah kerja Puskesmas Kuala Lempuing yang mengalami dismenore dapat menggunakan aromaterapi lemon dan aromaterapi lavender untuk mengurangi tingkat nyeri dismenore
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