Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati
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Analysis Of The Relationship Between Knowledge And Anemia Prevention Behavior Among Female Adolescents
Latar Belakang: Kejadian anemia pada remaja putri di provinsi Lampung masih pada angka yang cukup tinggi, kondisi ini bisa bepengaruh pada penurunan konsentrasi belajar, produktivitas, dan risiko komplikasi kehamilan di kemudian hari. Tujuan :Penelitian ini bertujuan untuk mempelajari dan mengetahui hubungan pengetahuan dengan perilaku pencegahan anemia pada remaja putri. Penelitian ini dengan desain studi potong lintang dengan menggunakan data primer. Populasi adalah remaja Putri kelas X di SMA N 01 Kebun Tebu Kabupaten Lampung Barat yang berusia 14-15 tahun dan sudah mengalami menstruasi. Pemilihan sampel dengan teknik total sampling dan didapatkan 85 responden siswi. Metode: Analisis data dilakukan dengan uji univariat untuk mendeskripsikan karakteris responden, pengetahuan responden tentang anemia dan perilaku pencegahan anemia. Uji statistik bivariat dengan uji Chi-square. Hasil: Didapatkan hasil bahwa tingkat pengetahuan tentang anemia remaja putri berada pada tingkat cukup baik dan baik . Perilaku pencegahan anemia juga pada tingkat cukup baik dan baik. Hasil uji bivariat menunjukkan bahwa variabel tingkat pengetahuan berhubungan dengan variabel perilaku pencegahan anemia dengan p-value <0,005). Kesimpulan: Terdapat hubungan signifikan antara variabel tingkat pengetahuan dengan variabel tingkat perilaku pencegahan, dalam arti kata lain semakin tinggi pengetahuan maka semakin tinggi tingkat perilaku pencegahan anemianya. Saran : Mengadakan penyuluhan kesehatan secara berkala dengan menghadirkan tenaga kesehatan profesional untuk meningkatkan pengetahuan siswi tentang anemia dan Mengintegrasikan edukasi kesehatan reproduksi dan pencegahan anemia ke dalam kurikulum atau kegiatan ekstrakurikuler, seperti dalam mata pelajaran Pendidikan Jasmani dan Kesehatan atau program UKS (Unit Kesehatan Sekolah) Kata Kunci : anemia, pengetahuan, perilaku pencegahan. ABSTRACT Background: The incidence of anemia among female adolescents in Lampung Province remains considerably high. This condition can affect decreased learning concentration, productivity, and the risk of pregnancy complications in the future. Objective: This study aims to examine and determine the relationship between knowledge and anemia prevention behavior among female adolescents. This research employed a cross-sectional study design using primary data. The population consisted of female adolescents in grade X at SMAN 01 Kebun Tebu, West Lampung Regency, aged 14-15 years who had experienced menstruation. Sample selection was conducted using total sampling technique, resulting in 85 female student respondents. Methods: Data analysis was performed using univariate tests to describe respondent characteristics, respondents' knowledge about anemia, and anemia prevention behavior. Bivariate statistical test was conducted using Chi-square test. Results: The findings showed that the level of knowledge about anemia among female adolescents was at moderate and good levels. Anemia prevention behavior was also at moderate and good levels. Bivariate test results indicated that the knowledge level variable was associated with the anemia prevention behavior variable with p-value <0.005. Conclusion: There is a significant relationship between the knowledge level variable and the prevention behavior level variable, meaning that the higher the knowledge, the higher the level of anemia prevention behavior. Recommendation: Conducting health education sessions regularly by inviting professional health workers to increase students' knowledge about anemia and Integrating reproductive health education and anemia prevention into the curriculum or extracurricular activities, such as in Physical and Health Education subjects or the UKS (School Health Unit) program.Health workers should enhance knowledge and provide counseling about anemia and reproductive health for adolescents. Keywords: Anemia, Knowledge, Prevention behavior
Copyright (c) 2025 JKM (Jurnal Kebidanan Malahayati)
Correlation Between Exclusive Breastfeeding And History Of Infectious Disease With Wasting
Latar belakang: Wasting merupakan kondisi anak yang berat badannya menurun seiring waktu hingga total berat badannya jauh di bawah standar kurva pertumbuhan atau berat badan berdasarkan tinggi badannya rendah (kurus) dan menunjukkan penurunan berat badan (akut) dan parah. Faktor penyebab langsung wasting disebabkan oleh asupan dan penyakit infeksi. Prevalensi balita wasting di Provinsi Lampung sebesar 7%. Sedangkan kejadian wasting di Kabupaten Way Kanan pada tahun 2021 sebesar 3.9% meningkat pada tahun 2022 sebesar 6% sehingga menjadikan Way Kanan dengan kenaikan tertinggi sebesar 153.8% dibandingkan Kab/Kota lainnya. Wasting di UPT Puskesmas Tanjung Rejo diatas cut off point yaitu 6.04%. Tujuan: Mengetahui hubungan ASI ekslusif dan riwayat penyakit infeksi dengan kejadian wasting pada balita usia 6-59 bulan. Metode: Penelitian yang digunakan kuantitatif dengan rancangan case control. Dilakukan dari Mei sampai dengan Juni terhadap 66 responden balita dan menggunakan kuesioner kemudian dianalisa secara univariat dan bivariat. Hasil: Hasil penelitian bahwa distribusi frekuensi kejadian wasting didapatkan 33 (100%) balita mengalami wasting. Dari 33 responden pada kelompok kasus sebesar 23 balita (69.7%) yang tidak ASI ekslusif dan 10 balita (30.3%) yang ASI ekslusif. Sedangkan pada kelompok kasus sebesar 15 balita (45.5%) yang ada infeksi dan 18 balita (54.4%) yang tidak ada infeksi. Ada hubungan ASI ekslusif dengan kejadian wasting dengan (p-value 0.047). Serta ada hubungan riwayat penyakit infeksi dengan kejadian wasting (p-value 0.034). Kesimpulan: Ada hubungan ASI ekslusif dan riwayat penyakit infeksi dengan kejadian wasting. Saran: Dimana perlu edukasi efektif dengan memperhatikan metode atau media yang efektif dalam pemberian materi tentang ASI ekslusif dan penyakit infeksi. Kata kunci: ASI Esklusif, Penyakit Infeksi, Wasting ABSTRACT Background: Wasting refers to a condition of a child whose weight decreases over time until his total body weight is far below the growth standards curve or weight-for-height which is low (thin) and shows acute and severe weight loss. The direct causes of wasting are poor nutrition intake and infectious diseases. The prevalence of wasting in children under five years in Lampung Province was 7%. Meanwhile, wasting in Way Kanan Regency in 2021 was 3.9%, increasing in 2022 by 6% and it makes Way Kanan Regency become the regency with the highest increase of wasting incidence (153.8%) compared to other regencies/cities. Wasting incidence at Tanjung Rejo Public Health Center UPT was above the cutoff point of 6.04%. Objective: To determine the correlation between exclusive breastfeeding and the history of infectious diseases with wasting in children aged 6-59 months Methods: This study used a quantitative approach with a case-control design. This study was conducted from May to June 2023 on 66 children under five years. The data were collected using questionnaires and then analyzed using univariate and bivariate data analysis. Results: The results of this study showed that based on the frequency distribution of wasting incidence, 33 children under five years (100%) experienced wasting. Of the 33 children under five years in the case group, 23 children (69.7%) were not exclusively breastfed and 10 children (30.3%) were exclusively breastfed. Whereas, in the case group, 15 children (45.5%) had a history of infectious diseases and 18 children (54.4%) had no history of infectious diseases. There was a correlation between exclusive breastfeeding and wasting (p-value = 0.047), and there was a correlation between the history of infectious diseases and wasting (p-value = 0.034). Conclusion: There was a correlation between exclusive breastfeeding and the history of infectious diseases with wasting Suggestion: Giving effective education is very necessary by paying attention to effective methods or media in providing material about exclusive breastfeeding and infectious diseases Keywords: Exclusive breastfeeding, Infectious Diseases, Wasting
Copyright (c) 2025 Jurnal Kebidanan Malahayati
Effect Of Health Promotion On The Bride And Groom Knowledge About The First 1000 Days Of Life
Seribu Hari Pertama Kehidupan (1000 HPK) merupakan fase kehidupan yang sangat penting dalam upaya pencegahan stunting. Berdasarkan data UNICEF (United Nations Children's Fund) tahun 2019, sebanyak 21,3% anak mengalami stunting, khususnya di Kabupaten Lampung Tengah sebanyak 1420 balita, di Wilayah Kerja Puskesmas Candi Rejo. Balita tersebut termasuk dalam kategori sangat pendek sebanyak 107 orang dan balita pendek sebanyak 263 orang. Upaya penurunan stunting yang dilakukan adalah dengan memberikan promosi kesehatan kepada calon pengantin terkait fase 1000 HPK balita. Tujuan penelitian adalah untuk mengetahui pengaruh promosi kesehatan terhadap pengetahuan calon pengantin tentang 1000 hari pertama kehidupan di Wilayah Kerja Puskesmas Candi Rejo, Kecamatan Way Pengubuan, Kabupaten Lampung Tengah tahun 2022. Penelitian kuantitatif menggunakan pendekatan one group pretest-postest. Populasi penelitian ini adalah seluruh calon pengantin dengan sampel sebanyak 31 orang secara total sampling dengan pendekatan one group pretest-postest. Penelitian dilakukan di Wilayah Kerja Puskesmas Candi Rejo, Kecamatan Way Pengubuan, Kabupaten Lampung Tengah pada bulan Juli 2022. Pengumpulan data menggunakan lembar observasi. Hasil rerata pengetahuan calon pengantin tentang 1000 hari pertama kehidupan sebelum diberikan promosi kesehatan adalah 35,3 dan setelah diberikan promosi kesehatan adalah 95,9. Pengaruh promosi kesehatan terhadap pengetahuan calon pengantin tentang 1000 hari pertama kehidupan di Wilayah Kerja Puskesmas Candi Rejo, Kecamatan Way Pengubuan, Kabupaten Lampung Tengah tahun 2022 menunjukkan nilai p = 0,000. Saran: Bagi tenaga kesehatan, diharapkan untuk lebih meningkatkan edukasi yang diberikan berupa leaflet kepada calon pengantin tentang pentingnya 1000 hari pertama kehidupan. Kata Kunci : 1000 hari pertama kehidupan, promosi kesehatan, pengetahuan, calon pengantin ABSTRACT The First Thousand Days of Life (1000 HPK) is a very important phase of life in stunting prevention efforts. Based on UNICEF (United Nations Children's Fund) data in 2019, as many as 21,3% of children are stunted, particularly in Central Lampung Regency as many as 1420 toddlers, in the Working Area of the Candi Rejo Health Centre. The toddler is included in the very short category as many as 107 people and short toddlers as many as 263 people. The efforts to reduce stunting are providing health promotion to brides and grooms related to the 1000 HPK toddler phase. The purpose of the study is to determine the effect of health promotion on the bride and groom's knowledge about the first 1000 days of life in the Working Area of the Candi Rejo Health Center, Way Pengubuan District, Central Lampung Regency in 2022. Quantitative research was used with one group pretest-postest approach. The population of this study is the entire bride and groom with a sample used as many as 31 people in total sampling by means of one group pretest-postest. The study was conducted in the Working Area of the Candi Rejo Health Center, Way Pengubuan District, Central Lampung Regency in July 2022. Data collection used observation sheet. The average results of the bride and groom knowledge about the first 1000 days of life before given health promotion was 35.3 and after given health promotion was 95.9. The effect of health promotion on the knowledge of the bride and groom about the first 1000 days of life in the Working Area of the Candi Rejo Health Center, Way Pengubuan District, Central Lampung Regency in 2022 showed a p-value = 0.000. Suggestion: For health workers, it is expected to further improve the education given in the form of leaflets to the bride and groom on the importance of 1000 days of life. Keywords : first 1000 days, health promotion, knowledge, bride and groom
Effectiveness Of Ice Massage On Labor Pain Intensity During The First Stage
Menurut data Dunia dalam World Health Organization (WHO, 2023) kasus ibu dengan persalinan nyeri menyatakan bahwa hanya 10-15% persalinan yang berlangsung tanpa rasa nyeri, dengan demikian bahwa data tersebut paling banyak ditemukan ibu dengan persalinan nyeri yaitu prevalensi sebesar 85-90% persalinan berlangsung dengan nyeri. Tujuan penulisan ini untuk mengetahui pengaruh efektifitas pijat es terhadap intensitas nyeri persalinan Kala I Di Wilayah Kerja Puskesmas Pasir Sakti Lampung Timur Metode penelitian dengan jenis penelitian kuantitatif, Penelitian dilaksanakan di Wilayah Kerja Puskesmas Pasir Sakti Lampung Timur dan rencananya dilakukan pada bulan Mei-Juni tahun 2025. Rancangan Quasi Eksperimental dengan posttest only with control group design. Populasi seluruh ibu memasuki kehamilan trimester III dengan HPL bulan Mei dan Juni berdasarkan kantong persalinan sejumlah 42 responden, sampel 32 responden, teknik purposive sampling. Hasil rata-rata intensitas nyeri sebelum intervensi mean 0,632, hasil sesudah mean 4,69. Rata-rata intensitas nyeri sebelum pada kelompok kontrol mean 0,629, sesudah mean 5,56. Hasil nilai p value 0,000< α (0,05) yang artinya H0 ditolak dan Ha diterima, yang berarti ada pengaruh teknik pijat es terhadap intensitas nyeri persalinan Kala I. Hasil p value 0,005< α (0,05). Nilai p value 0,006< α (0,05) artinya ada perbedaan yang brmakna antara kedua variabel penelitian Kata kunci : nyeri persalinan, pijat es, titik akupresure ABSTRACT According to World data in the World Health Organization (WHO, 2023) the case of mothers with painful labor states that only 10-15% of labor takes place without pain, thus that the data is most commonly found mothers with painful labor, namely a prevalence of 85-90% of labor takes place with pain . The purpose of this paper is to determine the effect of the effectiveness of ice massage on the intensity of labor pain in the first stage in the Working Area of Puskesmas Pasir Sakti East Lampung. The study employed a quantitative research method and was conducted in the working area of Puskesmas Pasir Sakti, East Lampung, during May–June 2025. A quasi-experimental design with a posttest-only control group was used. The study population consisted of all mothers in their third trimester of pregnancy with an expected delivery date (EDD) in May and June, based on the maternity register, totaling 42 individuals. A purposive sampling technique was applied to obtain a sample of 32 respondents. The average result of pain intensity before intervention mean 0.632, the result after mean 4.69. Average pain intensity before the control group mean 0.629, after mean 5.56. The result of the p value of 0.000 < α (0.05) which means H0 is rejected and Ha is accepted, which means there is an effect of ice massage techniques on the intensity of labor pain in Stage I. The p value result is 0.005 < α (0.05). The p value of 0.006 < α (0.05) means that there is a significant difference between the two research variables. Keywords : labor pain, ice massage, acupressure points
Family Based Knowledge Identification Of Balanced Nutrition During Pregnancy
Latar Belakang: Status gizi ibu hamil berperan krusial dalam menentukan kualitas kesehatan generasi mendatang. Kondisi seperti Kurang Energi Kronis (KEK), anemia, dan ketidakseimbangan asupan zat gizi masih banyak ditemukan di Indonesia, dengan dampak serius seperti berat badan lahir rendah, kelahiran prematur, hingga stunting dan kematian ibu maupun bayi. Tujuan: Mengidentifikasi tingkat pengetahuan tentang gizi seimbang selama kehamilan berbasis keluarga Metode: Jenis penelitian ini menggunakan jenis penelitian deskriptif. Sampel dalam penelitian ini adalah ibu hamil trimester, I, II, III yang berjumlah 43 orang. Hasil: hasil penelitian menunjukan 43 responden (50,0%) memiliki pengetahuan kurang, sebagian besar katagori kurang sebanyak 24 (55,8%), dan yang mempunyai pengetahuan baik sebanyak 7 (16,2%), dukungan keluarga terhadap gizi seimbang pada ibu hamil, sebagian besar keluarga tidak mendukung 27 (62,7%) responden, dan sebagain kecil tidak mendukung sebesar 16 (37,2%) responden. Kesimpulan: sebagian besar ibu hamil memiliki tingkat pengetahuan yang kurang tentang gizi seimbang dan keluarga terutama suami belum memberikan dukungan optimal terhadap gizi seimbang ibu hamil. Oleh karena itu, diperlukan edukasi dan penyuluhan gizi tidak hanya kepada ibu hamil, tetapi juga kepada suami, agar tercipta lingkungan keluarga yang lebih peduli terhadap pemenuhan gizi selama kehamilan Saran: Diharapkan ibu hamil dapat meningkatkan pengetahuan tentang gizi seimbang melalui berbagai sumber, seperti mengikuti kelas ibu hamil, konseling gizi di Puskesmas, atau mencari informasi dari tenaga kesehatan. Ibu hamil juga perlu lebih aktif dalam menanyakan dan mempraktikkan pola makan gizi seimbang agar kebutuhan nutrisi selama kehamilan dapat terpenuhi dengan baik. Kata Kunci: Tingkat pengetahuan, gizi, ibu hamil, keluarga ABSTRACT Background: The nutritional status of pregnant women plays a crucial role in determining the health of future generations. Conditions such as Chronic Energy Deficiency (CED), anemia, and imbalanced nutrient intake are still prevalent in Indonesia, with serious consequences such as low birth weight, premature birth, stunting, and maternal and infant mortality. Objective: To identify the level of knowledge about balanced nutrition during pregnancy based on family. Method: This research uses descriptive research. The sample in this study was 43 pregnant women in their first, second, and third trimesters. Results: The results of the study showed that 43 respondents (50.0%) had insufficient knowledge, the majority of which were in the insufficient category, 24 (55.8%), and those who had good knowledge were 7 (16.2%), family support for balanced nutrition for pregnant women, the majority of families did not support 27 (62.7%) respondents, and a small portion did not support 16 (37.2%) respondents. Conclusion: Most pregnant women have insufficient knowledge about balanced nutrition, and their families, especially husbands, do not provide optimal support for balanced nutrition for pregnant women. Therefore, nutrition education and counseling are needed not only for pregnant women but also for husbands, to create a family environment that is more concerned with nutritional needs during pregnancy. Suggestion: Pregnant women are expected to increase their knowledge about balanced nutrition through various sources, such as attending prenatal classes, nutrition counseling at community health centers, or seeking information from health professionals. Pregnant women also need to be more active in asking about and practicing a balanced diet to ensure their nutritional needs are met during pregnancy. Keywords: Level of knowledge, nutrition, pregnant women, family
Frequency Of Toddler’S Visit To Posyandu And Nutritional Status Of Toddlers (BW/A, BH/A, BW/BH)
Latar belakang: Berdasarkan hasil riset kesehatan dasar (Riskesdas) pada Tahun 2018 prevalensi balita underweight di Kabupaten Way Kanan sebesar 19,57%. Kunjungan balita ke Posyandu sangat penting dan berfungsi untuk mendapatkan pelayanan kesehatan seperti penimbangan, vaksinasi, penyuluhan gizi dan lain-lain. Akibat adanya pandemi COVID-19, kegiatan posyandu balita sempat diberhentikan sementara, salah satunya posyandu balita di kampung Negeri Jaya kecamatan Negeri Besar. Tujuan: Diketahui Hubungan Frekuensi Kunjungan Balita ke Posyandu dengan Status Gizi Balita di Kampung Negeri Jaya. Metode : Penelitian ini merupakan penelitian kuantitatif menggunakan rancangan Analitic dengan pendekatan Cross Sectional, dilaksanakan dari Februari sampai dengan Juli di Kampung Negeri Jaya. Penelitian ini menggunakan data skunder berupa laporan bulanan posyandu dengan jumlah sampel sebanyak 154 orang balita.Analisis data dengan cara analisis univariat dan bivariat menggunakan uji Chi Square dengan derajat kepercayaan <0,05. Hasil : Terdapat 68 Balita (44,2%) aktif posyandu dan 86 balita (55,8%) tidak aktif posyandu. Status gizi berdasarkan BB/U (gizi kurang s39 orang atau 25,3%, gizi baik 103 orang atau 66,9%, gizi lebih sebanyak 12 orang atau 7,8%). Status gizi TB/U (balita pendek 28 orang atau 18,2%, balita normal 126 orang atau 81,8%). Status gizi BB/TB (balita kurus 26 orang atau 16,9%, gizi normal 115 orang atau 74,7%, gemuk sebanyak 13 orang atau 8,4%). Kesimpulan : Ada hubungan frekuensi kunjungan balita ke posyandu dengan status gizi balita BB/U (p value = 0,03), TB/U (p value=0,04), BB/TB (p value=0,01). saran : meningkatkan kerjasama antara pemerintah kampung dan kader posyandu dengan bidan desa setempat untuk meningkatkan cakupan kunjungan balita keposyandu sehingga status gizi balita dapat terpantau dengan baik. Kata Kunci : Posyandu balita, kunjungan posyandu, status gizi balita ABSTRACT Backgrounds:Based on the results of basic health research (Riskesdas) in 2018 the prevalence of underweight toddlers in Way Kanan Regency was 19.57%. Toddlers’s visit to Posyandu is very important and beneficial to get health services such as weighing, vaccination, nutrition counseling and etc. As a result of the COVID-19 pandemic, Posyandu activities for toddlers were temporarily suspended, one of them was posyandu for toddlers in Negeri Jaya village, Negeri Besar sub-district. Purpose: Gaining information about the relation between the frequency of visits by toddlers to Posyandu and the nutritional status of toddlers in Negeri Jaya village. Methods:This research is a quantitative study using an analytical design with a cross-sectional approach held from February to July in Negeri Jaya village. This study used secondary data in the form of monthly posyandu reports with total samples about 154 toddlers. Data analysis was carried out by means of univariate and bivariate analysis using the Chi Square test with a degree of confidence <0.05. Results:There were 68 toddlers (44.2%) who were active in posyandu and 86 toddlers (55.8%) who were not active in posyandu. Nutritional status based on BW/A (undernourished 39 people or 25.3%, well nutrition 103 people or 66.9%, over nutrition 12 children or 7.8%). Nutritional status BH/A (28 short toddlers or 18.2% and normal toddlers 126 children or 81.8%). BW/BH nutritional status (26 thin under-five years old children or 16.9%, normal 115 people or 74.7%, 13 over weight or 8.4%). Conclusion:There is a relationship between the frequency of visits by toddlers to posyandu and the nutritional status of toddlers shown by BW/A (p value = 0.03), BH/A (p value=0.04), BW/BH (p value=0.01).Suggestion: increasing cooperation between the village government and posyandu cadres with local midwife to increase toddlers’s visit to posyandu so that their nutritional status can be properly monitored. Keywords : Posyandu for toddlers, posyandu visits, nutritional status for toddlers
Hibiscus Leaf Compress As A Natural Intervention For Fever After DPT-HB-HIB Immunization In Infants
Latar Belakang: Imunisasi pada anak balita dapat mencegah sekitar 2–3 juta kematian setiap tahunnya di seluruh dunia. Angka kematian anak secara global menurun dari 65 kematian per 1.000 kelahiran hidup pada tahun 1990 menjadi 29 per 1.000 pada tahun 2018. Meskipun bermanfaat, demam pasca imunisasi merupakan reaksi fisiologis yang umum akibat paparan antigen.Tujuan: Penelitian ini bertujuan untuk mengevaluasi efektivitas kompres daun kembang sepatu dalam menurunkan suhu tubuh pada bayi yang mengalami demam setelah imunisasi DPT-HB-HIB-Hib. Metode: Penelitian eksperimental ini menggunakan desain pretest–posttest control group. Populasi penelitian adalah bayi berusia 2, 3, dan 4 bulan yang belum mendapatkan imunisasi DPT-HB-HIB. Teknik purposive sampling digunakan untuk memilih 12 partisipan, terdiri dari enam bayi pada kelompok intervensi (kompres daun kembang sepatu) dan enam bayi pada kelompok kontrol (pemberian parasetamol). Uji normalitas data dilakukan dengan uji Shapiro–Wilk, dan analisis data menggunakan paired t-test serta independent t-test. Hasil: Rata-rata suhu tubuh pada kelompok intervensi menurun dari 37,7°C (pretest) menjadi 36,5°C (posttest), sedangkan pada kelompok kontrol menurun dari 37,7°C menjadi 37,1°C. Analisis statistik menunjukkan adanya perbedaan yang signifikan dalam penurunan suhu antara kedua kelompok (p = 0,005), dengan kelompok intervensi menunjukkan perbaikan yang lebih besar. Kesimpulan: Kompres daun kembang sepatu efektif dalam menurunkan suhu tubuh pada bayi dengan demam pasca imunisasi DPT-HB-HIB. Saran: Disarankan agar tenaga kesehatan memberikan edukasi kepada para ibu mengenai penggunaan kompres daun kembang sepatu sebagai terapi non-farmakologis yang aman dan sederhana dalam menangani demam ringan pasca imunisasi DPT-HB-Hib. Kata kunci : Daun Kembang Sepatu, Demam, DPT-HB-HIB-Hib, Kompres, Pasca Imunisasi ABSTRACT Background: Immunisation in children under five prevents approximately 2–3 million deaths annually worldwide. Global child mortality has declined from 65 deaths per 1,000 live births in 1990 to 29 per 1,000 in 2018. Despite its benefits, post-immunisation fever is a common physiological reaction to antigen exposure. Purpose: This study aimed to evaluate the effectiveness of hibiscus leaf compresses in reducing body temperature in infants experiencing fever after DPT-HB-HIB immunisation. Methods: This experimental study used a pretest–posttest control group design. The population consisted of infants aged 2, 3, and 4 months who had not received DPT-HB-HIB immunisation. Purposive sampling was applied to select 12 participants: six in the intervention group (hibiscus leaf compress) and six in the control group (paracetamol administration). Data normality was tested using the Shapiro–Wilk test, and analysis was conducted using paired t-tests and independent t-tests. Results: The intervention group’s mean body temperature decreased from 37.7°C (pretest) to 36.5°C (posttest), while the control group’s mean temperature decreased from 37.7°C to 37.1°C. Statistical analysis revealed a significant difference in temperature reduction between groups (p = 0.005), with the intervention group showing greater improvement. Conclusion: Hibiscus leaf compresses are effective in lowering body temperature in infants with post-DPT-HB-HIB immunisation fever. Suggestion: It is recommended that healthcare providers educate mothers on the use of hibiscus leaf compresses as a safe and simple non-pharmacological therapy to manage mild fever following DPT-HB-Hib immunization. Keywords: Compress, DPT-HB-Hib, Fever, Hibiscus leaf, Post-immunization
Identification Of Anemia Management In Pregnant Women In The Third Trimester As An Effort To Prepare For A Healthy Delivery
Latar Belakang: Anemia pada ibu hamil merupakan salah satu masalah gizi yang masih sering dijumpai di Indonesia, terutama pada trimester III kehamilan. Kondisi ini disebabkan oleh peningkatan kebutuhan zat besi dan volume darah yang tidak diimbangi dengan asupan gizi yang adekuat. Anemia pada masa kehamilan dapat meningkatkan risiko komplikasi, seperti kelelahan, perdarahan saat persalinan, kelahiran prematur, dan berat badan lahir rendah (BBLR). Oleh karena itu, penanganan anemia sejak masa kehamilan sangat penting untuk mempersiapkan persalinan yang sehat dan aman. Tujuan: Penelitian ini bertujuan untuk mengidentifikasi bentuk penanganan anemia pada ibu hamil trimester III sebagai upaya persiapan persalinan sehat. Metode: Metode penelitian ini adalah desktiptif. Penelitian akan dilaksanakan di Puskesmas Puyung Kabupaten Lombok Tengah. Sampel dalam penelitian ini sebanyak 30 ibu hamil Trimester III. Data dikumpulkan menggunakan kuesioner, diolah secara univariat, dan disajikan dalam bentuk tabel distribusi frekuensi. Hasil: hasil penelitian menunjukan bahwa sebagian besar umur responden pada ketegori tidak beresiko (56,7%), sebagian besar responden dalam kategori multipara (66,7%), sebagian besar responden berprofesi sebagai ibu rumah tangga (66,7%), sebagian responden memiliki pengetahuan yang baik (50%) tentang pencegahan anemia, sebagian besar ibu patuh mengonsumsi suplemen zat besi (56,7%), sebagian besar ibu rutin melakukan pemeriksaan hemoglobin (73,3%), dan hampir seluruh ibu hamil rutin melakukan pemeriksaan antenatal care (90%). Kesimpulan: Sebagian besar ibu hamil memiliki perilaku yang baik dalam penanganan anemia, ditunjukkan dengan tingkat pengetahuan yang cukup, kepatuhan mengonsumsi suplemen zat besi, serta rutinnya pemeriksaan hemoglobin dan kunjungan antenatal care. Saran: Tenaga kesehatan diharapkan terus meningkatkan kegiatan edukasi, konseling gizi, dan pemantauan kepatuhan konsumsi tablet Fe pada ibu hamil melalui program posyandu dan kelas ibu hamil. Kata Kunci : Anemia, Ibu Hamil Trimester III, dan Persiapan Persalinan Sehat ABSTRACT Background: Anemia in pregnant women is a common nutritional problem in Indonesia, particularly in the third trimester. This condition is caused by increased iron requirements and blood volume, which are not matched by adequate nutritional intake. Anemia during pregnancy can increase the risk of complications, such as fatigue, bleeding during delivery, premature birth, and low birth weight (LBW). Therefore, managing anemia during pregnancy is crucial for a healthy and safe delivery. Objective: This study aims to identify the form of anemia management in pregnant women in the third trimester as an effort to prepare for a healthy delivery. Method: This research method is descriptive. The study will be conducted at the Puyung Community Health Center in Central Lombok Regency. The sample size for this study is 30 pregnant women in their third trimester. Data were collected using a questionnaire, processed univariately, and presented in a frequency distribution table. Results: The results of the study showed that most of the respondents were in the no-risk category (56.7%), most of the respondents were in the multiparous category (66.7%), most of the respondents were housewives (66.7%), some of the respondents had good knowledge (50%) about preventing anemia, most of the mothers were compliant in consuming iron supplements (56.7%), most of the mothers routinely had hemoglobin checks (73.3%), and almost all pregnant women routinely had antenatal care checks (90%). Conclusion: Most pregnant women have good behavior in managing anemia, as indicated by a sufficient level of knowledge, compliance with consuming iron supplements, and routine hemoglobin checks and antenatal care visits. Suggestion: Health workers are expected to continue to improve educational activities, nutritional counseling, and monitoring compliance with the consumption of iron tablets in pregnant women through integrated health service posts (Posyandu) programs and pregnancy classes. Keywords: Anemia, Third Trimester Pregnant Women, and Preparation for a Healthy Delivery
Long Use Of KB Implant With Increased Weight On KB Accepters Implant
Latar Belakang: Keluarga Berencana (KB) merupakan salah satu layanan kesehatan preventif paling dasar dan utama bagi perempuan. Cakupan peserta KB implan menurut metode kontrasepsi modern pada tahun 2020 adalah 8,5%. Penggunaan kontrasepsi implan dapat menimbulkan beberapa efek samping dan masalah, salah satunya adalah kenaikan berat badan. Tujuan: Untuk mengetahui hubungan antara lama penggunaan KB Implan dengan peningkatan berat badan pada akseptor KB Implan di Puskesmas Rawat Inap Rejo Katon tahun 2022. Metode: Jenis penelitian ini adalah kuantitatif dengan rancangan penelitian observasi analitik dengan rancangan cross sectional. Populasi dalam penelitian ini adalah seluruh akseptor KB Implan di Puskesmas Rawat Inap Rejo Katon tahun 2019-2021 dengan jumlah 241 orang dan sampel sebanyak 211 orang. Teknik pengambilan sampel dalam penelitian ini adalah purposive sampling. Analisis data menggunakan chi square. Hasil: Lama penggunaan KB Implan pada akseptor KB Implan didapatkan 149 (70,6%) responden menggunakan KB implan 1 tahun dan peningkatan berat badan pada akseptor KB Implan didapatkan 140 (66,4%) responden mengalami peningkatan berat badan. Hasil uji chi square didapatkan pvalue 0,000 < 0,05. Kesimpulan: Terdapat hubungan antara lama penggunaan KB Implan dengan peningkatan berat badan pada akseptor KB Implan di Puskesmas Rawat Inap Rejo Katon tahun 2022. Saran bagi pengguna KB Implan jangka panjang untuk menjaga berat badan dengan mengatur pola dan frekuensi makan serta menyeimbangkannya dengan olahraga teratur. Kata Kunci: Lama penggunaan, KB Implan, Berat Badan ABSTRACT Background: Family Planning (KB) is one of the most basic and main preventive health services for women. The coverage of implant family planning participants according to modern contraceptive methods in 2020 is 8.5%. The use of implant contraceptives can cause several side effects and some problems, one of which is weight gain. Purpose: To determine the relationship between the duration of the use of KB Implants with increased body weight in KB Implant acceptors at the Rejo Katon Inpatient Health Center in 2022. Methods: This type of research is quantitative with a research designanalytic observation with cross sectional design. The population in this study isall acceptors of KB Implants at the Rejo Katon Inpatient Health Center in 2019-2021 with a total of 241 people and a sample of 211 people. The sampling technique in this study ispurposive sampling.Data analysis usingchisquare. Results: The duration of the use of KB Implants in KB Implant acceptors obtained 149 (70.6%) respondents using KB implants 1 year and the increase in body weight in KB Implant acceptors obtained 140 (66.4%) respondents experienced an increase in body weight. Test resultschi squareget pvalue0.000 <0.05. Conclution: there is a relationship between the length of use of KB Implants and the increase in body weight in KB Implant acceptors at the Rejo Katon Inpatient Health Center in 2022. Suggestionsusers of long-term KB implants to maintain their weight by adjusting the pattern and frequency of eating and balancing it with regular exercise. Keywords : Length of use, KB implants, Weight
Nurturing, Caring, And Parenting Patterns For Early Childhood In Sekar Melati Playgroup
Masa usia dini merupakan masa golden age (masa keemasan) dimana pada masa ini anak sudah mulai peka dan sensitif dengan lingkungan sekitarnya sehingga akan dengan mudah menyerap apa yang dilihat, didengar, dan dirasakan. Usia ini merupakan pribadi unik dengan pola tumbuh kembang pada komponen fisik, kognitif, social, emosional, kreatif, linguistic dan komunikasi yang khas pada tahapan yang dilalui anak. Oleh karena itu pemberian stimulus yang tepat pada anak sangat dibutuhkan apabila menginginkan setiap aspek perkembangan tercapai secara optimal. Peran dari ibu, bapak, keluarga dan masyarakat serta lingkungan menjadi penting, mengingat pada masa ini adalah ”masa keemasan” sangat tergantung bagaimana kita memenuhi hak dasar anak akan pola asih, asah dan asuh, agar anak dapat tumbuh kembang secara optimal dan akan berpengaruh terhadap kehidupan selanjutnya. Penelitian ini bersifat deskriptif bertujuan menggambarkan pola asah asih serta asuh yang diberikan orang tua kepada anak nya pada usia dini. Hasil penelitian kepada 35 responden diperoleh (68,6%) pola asahnya baik menunjukkan bahwa orang tua dalam memberikan stimulasi untuk mengembangkan kemampuan intelektual, keterampilan, kreatifitas serta sosial anak sebagian sudah baik. Pola asih orang tua pada anak yang berkaitan dengan pemenuhan kebutuhan emosional melalui kasih saying & perhatian (88,6%) sudah baik, serta (62,9%) pola asuh yang berkaitan dengan cara merawat, membimbing serta mendidik anak dalam kehidupan sehari-hari juga sudah baik. Pola asah asih dan asuh saling berkaitan sehingga diharapkan ketiganya berjalan seimbang agar tumbuh kembang anak akan lebih optimal baik secara fisik, mental, emosional serta social. Kata Kunci: Asah, Asih, Asuh, Usia, Dini ABSTRACT Early childhood is a golden age when children begin to be sensitive to their surroundings and easily absorb what they see, hear, and feel. This age is a unique period of personal growth and development in terms of physical, cognitive, social, emotional, creative, linguistic, and communication skills that are characteristics of the stage children go through. Therefore, providing appropriate stimuli to children is essential if we want every aspect of their development to be achieved optimally. The role of mothers, fathers, families, communities, and the environment is important, considering that this period is a “golden age” that depends heavily on how we fulfill children's basic rights to love, guidance, and care so that they can grow and develop optimally, which will affect their future lives. This descriptive study aims to describe the patterns of nurturing, caring, and parenting that parents provide to their children in early childhood. The results of the study of 35 respondents show that (68.6%) of the nurturing patterns are good, indicating that parents are already good at providing stimulation to develop their children's intellectual abilities, skills, creativity, and social skills. The caring pattern of parents towards children in relation to fulfilling emotional needs through affection and attention (88.6%) was good, and (62.9%) of the parenting patterns related to caring for, guiding, and educating children in daily life were also good. Nurturing, caring, and parenting are interrelated, so it is hoped that all three will be balanced so that children's growth and development will be more optimal physically, mentally, emotionally, and socially. Keywords: Nurturing, Caring, Parenting, Age, Early
Pregnant Women And Families' Readiness Towards The Implementation Of Exclusive
Latar Belakang: Tingginya angka bayi yang telah diberi MPASI sebelum berusia 6 bulan menyebabkan rendahnya pencapaian ASI eksklusif. Pemberian ASI eksklusif sampai 6 bulan dan dapat dilanjutkan sampai usia 2 tahun juga mendapat perhatian serius dari pemerintah dan kembali dituangkan dalam Kepmenkes RI. No.450/MENKES/IV/2004. Tujuan: Mengetahui kesiapan ibu hamil dan keluarga terhadap penerapan ASI Eksklusif di wilayah kerja Puskesmas Peusangan Siblah Krueng. Metode: Metode penelitian menggunakan rancangan observasi analitik dengan desain penelitian cross sectional. Sampel penelitian menggunakan teknik total sampling berjumlah 30 orang. Pengumpulan data menggunakan kuesioner. Uji bivariat menggunakan Fisher's Exact Test. Hasil: Berdasarkan analisis statisti didapatkan bahwa ada hubungan kesiapan ibu hamil (0,000) dan keluarga (0,049) terhadap penerapan ASI Eksklusif di wilayah kerja Puskesmas Peusangan Siblah Krueng. Kesimpulan: Ada hubungan kesiapan ibu hamil dan keluarga terhadap penerapan ASI Eksklusif di wilayah kerja Puskesmas Peusangan Siblah Krueng. Saran: Diharapkan dapat sebagai bahan untuk terus memberikan memperbaharui pengetahuan ASI eksklusif sehingga ibu hamil dan keluarga dapat bersinergi hingga penerpan ASI eksklusif. Kata Kunci : ASI Eksklusif, Kesiapan Ibu Hamil, Kesiapan Keluarga. ABSTRACT Background: The majority of women who marry before the age of 18 come from poor families and are below the poverty line, according to statistical data 28.10% of teenagers marry before the age of 18 and give birth to their first child at the age of 15-19 years. Purpose: Analyzing why and what causes early marriage among Acehnese teenagers in Lhokseumawe City. Methods: Qualitative research with an interpretive model to analyze early marriage among young women. The study was conducted in the city of Lhokseumawe. The researchers studied the cases of three people who married early. Data analysis was carried out by grouping people and events according to their characteristics according to categories and chronological order. Results: The results of the study showed that the causes of early marriage in Lhokseumawe city are due to local community habits, young women no longer attend school, are afraid of committing crimes (adultery), getting married (loving), premarital pregnancy and lack of knowledge about reproductive health. Conclusion: To reduce early marriage, every young person must undergo 12 years of compulsory education to reduce the high rate of early marriage and reduce the interest of young people to marry at a young age. Suggestions; Conducting counseling and socialization about the ideal age for marriage routinely and continuously and in synergy with related agencies. Keywords: exclusive breastfeeding, pregnant mother readiness, family readiness
Processed Spinacia Oleracea And Flavors (Trigonella Foenum-Graecum) Seeds In Increasing Breast Milk Volume
Latar Belakang: Stunting masih menjadi masalah gizi dan menjadi tantangan besar di Indonesian terutama pada anak-anak, yang secara global mempengaruhi sekitar 162 juta anak di bawah usia 5 tahun dan keadaan ini terjadi pada 1000 Hari Pertama Kehidupan (HPK). Tujuan: untuk mengeksplorasi potensi bayam (Spinacia oleracea) dan kelabat (Trigonella foenum-graecum) ini sebagai laktagogum sebagai pencegahan stunting. Metode: Penelitian eksperimental dengan desain pretest-posttest with control group dilakukan pada 32 ibu menyusui. Kelompok perlakuan mendapat intervensi berupa 100 g nugget setiap hari selama 30 hari, sedangkan kelompok kontrol tidak mendapat intervensi. Parameter yang diukur meliputi volume ASI (ml/hari) Analisis data menggunakan uji Wilcoxon Signed Rank Test untuk kelompok perlakuan dan paired t-test untuk kelompok kontrol.Dari kedua kelompok tersebut dinilai pengukuran produksi ASI Hasil : Hasil olahan penelitian ini mengandung protein 8,64–8,72%, zat besi 13,37–15,40 mg/100g, dan saponin 2,49–3,92%. Terdapat peningkatan signifikan volume ASI pada kelompok perlakuan dari 515,7 ± 19,0 ml/hari menjadi 577,5 ± 79,7 ml/hari (p=0,000), sedangkan pada kelompok kontrol tidak signifikan (p=0,906). Kesimpulan : Pemberian olahan nugget tempe-bayam-biji kelabat secara signifikan meningkatkan volume ASI dan memperbaiki status gizi bayi. Produk ini berpotensi digunakan sebagai pangan fungsional dalam program peningkatan gizi ibu menyusui dan pencegahan stunting. Kata Kunci: Asi, bayam, kelabat, nugget, stunting ABSTRACT Background: Stunting remains a nutritional problem and a major challenge in Indonesia, especially for children. Globally, it affects approximately 162 million children under 5 years of age, and this condition occurs during the First 1,000 Days of Life (HPK). Purpose: To explore the potential of spinach (Spinacia oleracea) and fenugreek (Trigonella foenum-graecum) as lactagogans for stunting prevention. Methods: An experimental study with a pretest-posttest design with a control group was conducted on 32 breastfeeding mothers. The treatment group received 100 g of nuggets daily for 30 days, while the control group received no intervention. The parameters measured included breast milk volume (ml/day). Data analysis used the Wilcoxon Signed Rank Test for the treatment group and the paired t-test for the control group. Breast milk production was assessed in both groups. Results: The nuggets contained 8.64–8.72% protein, 13.37–15.40 mg/100g iron, and 2.49–3.92% saponin. There was a significant increase in breast milk volume in the treatment group from 515.7 ± 19.0 ml/day to 577.5 ± 79.7 ml/day (p=0.000), while the increase was not significant in the control group (p=0.906). Conclusion: Providing tempeh-spinach-female nuggets significantly increased breast milk volume and improved infant nutritional status. This product has the potential to be used as a functional food in programs to improve the nutrition of breastfeeding mothers and prevent stunting.. Keywords: Breast milk, spinach, fenugreek, nuggets, stunting
Study Of Discomfort During Perimenopause And The Use Of Soy And Its Processed Products As A Natural Solution
Latar Belakang: Jumlah wanita di dunia yang memasuki klimakteium diperkirakan mengalami peningkatan. Wanita menopause akan mengalami penurunan jumlah estrogen sehingga menimbulkan berbagai ketidaknyamanan. Salah satu solusi untuk mengatasi keluhan tersebut adalah TSH, tetapi memiliki kontraindikasi absolut. Oleh karena itu, perlu ada alternatif lain, yaitu dengan pemanfaatan kedelai dan produk olahannya Tujuan: Tujuan penelitian ini adalah untuk memperoleh gambaran tentang pemanfaatan kedelai dan produk olahannya sebagai upaya mengurangi ketidaknyaman pada wanita perimenopause. Metode: Metode penelitian ini adalah kuantitatif (deskriprif). Sampel yang digunakan adalah semua wanita yang memasuki masa perimenopause di Kelurahan Jempong Baru sebanyak 123 orang. Data dianalisis secara univariat. Hasil: Hasil penelitian menunjukkan sebagian besar (80,5%) wanita perimenopause tidak memanfaatkan kedelai sebagai upaya mengurangi ketidaknyamanan pada masa perimenopause dan mayoritas responden (39,1%) menyukai biskuit selama masa perimenopause Kesimpulan: Kesimpulan dalam penelitian ini adalah kebanyakan wanita perimenopause tidak menggunakan kedelai dan produk olahannya sebagai tata laksana keluhan masa perimenopause. Saran: Disarankan kepada wanita yang memasuki usia perimenopause untuk mengonsumsi kedelai dan produk olahannya seperti susu kedelai, tahu, dan tempe sebagai upaya mengurangi ketidaknyamanan pada masa perimenopause. Kata Kunci : Kedelai, Ketidaknyamanan, Perimenopause ABSTRACT Background: The number of women in the world entering the climax is expected to increase. Menopausal women will experience a decrease in the amount of estrogen, causing various discomforts. One solution to overcome these complaints is TSH, but it has absolute contraindications. Therefore, there needs to be another alternative, namely the use of soybeans and their processed products. Purpose: The purpose of this study was to obtain an overview of the use of soy and its processed products as an effort to reduce discomfort in perimenopausal women Methods: The sample used was all women who entered the perimenopause period in Jempong Baru Village as many as 123 people. Data were analyzed univariately. Results: The results showed that most (80.5%) perimenopausal women did not use soy as an effort to reduce discomfort during perimenopause and the majority of respondents (39.1%) liked biscuits during perimenopause. Conclusion: The conclusion in this study is that most perimenopausal women do not use soy and its processed products as a treatment for perimenopausal complaints. Suggestions: It is recommended to women who enter the age of perimenopause to consume soy and its processed products such as soy milk, tofu, and tempeh as an effort to reduce discomfort during perimenopause. Keywords: Soy, Discomfort, Perimenopause
The Correlation Between Mental Health And Social Aspects With Adolescent Sexual Behaviour
Latar Belakang: Masa remaja yang merupakan periode transisi yang rentan terhadap gangguan kesehatan mental dan aspek sosial yang dapat mempengaruhi pengambilan keputusan termasuk perilaku seksual. Tingginya angka perilaku seks pranikah pada remaja menjadi perhatian serius bagi dunia pendidikan dan kesehatan. Tujuan: Untuk mengetahui hubungan antara kesehatan mental dan aspek sosial dengan perilaku seksual pada remaja di SMKN X Gunung Jati Kabupaten Cirebon tahun 2025. Metode: Menggunakan pendekatan kuantitatif dengan desain cross-sectional. Sampel dipilih menggunakan teknik proportional random sampling dengan jumlah responden 216 orang. Instrumen yang digunakan adalah kuesioner DASS-21, kuesioner peran teman sebaya dan kuesioner perilaku seksual. Analisis data menggunakan uji Spearman Rank Correlation. Hasil: Menunjukkan bahwa terdapat korelasi positif berkekuatan lemah antara kesehatan mental dengan perilaku seksual remaja (p-value 0,000 < 0,05, ρ 0,236 ; 0,255 ; 0,236) dan korelasi negatif dengan kekuatan lemah antara aspek sosial (peran teman sebaya) dengan perilaku seksual remaja (p-value 0,004 < 0,05, ρ -0,196). Kesimpulan: Kesehatan mental dan Aspek sosial memiliki peran penting dalam membentuk perilaku seksual remaja. Saran: Upaya preventif melalui edukasi kesehatan mental, pembentukan peer support group dan konseling remaja perlu dilakukan di lingkungan sekolah. Kata Kunci : Kesehatan Mental, Aspek Sosial, Perilaku Seksual Remaja ABSTRACT Background: Adolescence is a transitional period vulnerable to mental health disorders and social aspects that can influence decision-making, including sexual behavior. The high rate of premarital sex among adolescents is a serious concern for the world of education and health Purpose: The purpose of this study was to determine the relationship between mental health and social aspects and sexual behavior in adolescents at State Vocational Highschool X Gunung Jati, Cirebon Regency, 2025. Methods: This research used a quantitative approach with a cross-sectional design. The sample was selected using proportional random sampling, with 216 respondents. The instruments used were the DASS-21 questionnaire, the peer role questionnaire, and the sexual behavior questionnaire. Data were analyzed using the Spearman Rank Correlation test. Results: The results show a weak positive correlation between mental health and adolescent sexual behavior (p-value <0.05, ρ 0.236; 0.255; 0.236), and a weak negative correlation between social aspects (peer relationships) and adolescent sexual behavior (p-value <0.05, ρ -0.196). Conclusion: Mental health and social aspects play a significant role in shaping adolescent sexual behavior. Suggestions: Preventive efforts through mental health education, the formation of peer support groups, and adolescent counseling are necessary in the school environment Keywords: Mental Health, Social Aspects, Adolescent Sexual Behaviour
The Effectiveness of Breastfeeding Education on Improving Knowledge and Breastfeeding Self-Efficacy among Postpartum Mothers in the Practice of Exclusive Breastfeeding
Background:Exclusive breastfeeding is an essential strategy to reduce infant morbidity and mortality rates. However, the exclusive breastfeeding coverage in Indonesia has not yet reached the national target. Low maternal knowledge and breastfeeding self-efficacy are factors that influence breastfeeding success. This study aimed to determine the effect of education on knowledge and breastfeeding self-efficacy among postpartum mothers in Karang Maritim Village, Panjang District, Bandar Lampung City. Methods:This study employed a pre-experimental design with a one-group pretest–posttest approach. The sample consisted of 25 postpartum mothers selected through consecutive sampling. The intervention involved promotive and preventive education on exclusive breastfeeding conducted in four sessions over eight weeks through group-based learning and individual mentoring. Research instruments included a breastfeeding knowledge questionnaire and the Breastfeeding Self-Efficacy Scale–Short Form (BSES-SF). The data were analyzed using the paired sample t-test with a significance level of p < 0.05. Results:The mean knowledge score increased from 4.65 to 7.58 (Δ = 2.93; p = 0.000), while the mean breastfeeding self-efficacy score increased from 43.80 to 63.88 (Δ = 20.08; p = 0.000). These findings indicate a significant effect of education on improving mothers' knowledge and confidence in breastfeeding. Conclusion:Structured, interactive, and family-based promotive–preventive education effectively enhances knowledge and breastfeeding self-efficacy among postpartum mothers. This intervention can be implemented in community-level breastfeeding education programs as a strategy to increase exclusive breastfeeding coverage. Suggestion: Future research should include additional variables such as workplace support and maternal psychological factors, and use a longitudinal design to examine the sustainability of exclusive breastfeeding practices
The Effect Of Consumption Of Kelakat (Moringa Avocado) Cookies On Hemoglobin Levels In Third Trimester Pregnant Women At The South Cimahi Community Health Center
Latar Belakang: Anemia merupakan masalah kesehatan terbesar di masyarakat dan dunia, terutama pada wanita hamil. Kondisi ini memiliki dampak yang sangat buruk bagi kesehatan ibu dan janin. Salah satu kebijakan pemerintah untuk mengatasi hal ini adalah dengan memberikan suplemen tablet Fe selama kehamilan. Selain itu, upaya dilakukan untuk memenuhi kebutuhan zat besi selama kehamilan dengan mengonsumsi makanan yang kaya zat besi seperti Moringa dan Avocado. Tujuan: Untuk menentukan pengaruh Kukis Kelakat terhadap kadar hemoglobin pada wanita hamil trimester III di Pusat Kesehatan Masyarakat Puskesmas Cimahi Selatan. Metode: Studi ini menggunakan metode kuantitatif dengan desain quasi-eksperimental dan pendekatan dua kelompok pra-tes–pasca-tes. Studi dilakukan di Puskesmas Cimahi Selatan dengan populasi wanita hamil trimester III. Sampel terdiri dari 20 orang yang dipilih melalui sampling purposif, terdiri dari 10 orang di kelompok intervensi (diberikan kue kelakat + Fe) dan 10 orang di kelompok kontrol (diberikan Fe saja). Intervensi dilakukan selama 14 hari, dipantau melalui grup WhatsApp, dan kadar hemoglobin dievaluasi setelah intervensi menggunakan alat pengukur Hb. Analisis data menggunakan uji t. Hasil: Hasil analisis menunjukkan nilai rata-rata peningkatan kadar hemoglobin (Hb) pada kelompok intervensi sebesar 0,42 gr/dl, sedangkan pada kelompok kontrol sebesar 0,73 gr/dl. Hasil tersebut tidak menunjukkan perbedaan yang signifikan, namun peningkatan kadar Hb pada kelompok intervensi lebih tinggi sebesar 0,38 gr/dl dibandingkan dengan kelompok kontrol. Nilai sig pada kelompok intervensi p-value 0,000 dan kelompok kontrol 0,035 dengan nilai ≤ 0,05. Kesimpulan: Hasil penelitian menunjukkan bahwa preparat daun moringa memiliki manfaat signifikan dalam meningkatkan kadar hemoglobin pada wanita hamil pada trimester ketiga. Konsumsi rutin ekstrak daun moringa dan alpukat dapat membantu memenuhi kebutuhan zat besi, meningkatkan status gizi, dan mencegah risiko anemia selama kehamilan. Oleh karena itu, ekstrak daun moringa dan alpukat dapat direkomendasikan sebagai intervensi nutrisi tambahan yang aman, terjangkau, dan efektif untuk meningkatkan kadar hemoglobin pada wanita hamil, serta dapat digunakan sebagai alternatif suplemen zat besi dalam program perawatan antenatal. Kata kunci: Hemoglobin, Kukis Daun Kelor dan Alpukat, Wanita Hamil ABSTRACT Background: Anemia is the biggest health problem in the community and the world, especially in pregnant women, this condition has a very bad impact on the health of the mother and fetus. One of the government policies to overcome this is by supplementing Fe tablets during pregnancy. In addition, efforts are made to meet iron needs during pregnancy by consuming foods that contain high iron such as Moringa and Avocado. Purpose: To determine the effect of Kukis Kelakat on Hemoglobin Levels in Trimester III Pregnant Women in South Cimahi Community Health Center. Methods: This study used a quantitative method with a quasi-experimental design and a two-group pretest–posttest approach. The study was conducted at the South Cimahi Community Health Center with a population of pregnant women in their third trimester. The sample consisted of 20 people determined by purposive sampling, consisting of 10 people in the intervention group (given kelakat cookies + Fe) and 10 people in the control group (given Fe only). The intervention was carried out for 14 days, monitored through a WhatsApp group, and hemoglobin levels were evaluated after the intervention using an Hb checker. Data analysis used the t-test. Results:The results of the analysis obtained an average value of increasing Hb levels in the intervention group of 0.42 gr / dl, in the control group of 0.73 gr / dl. The results showed no difference, but the difference in the increase in the intervention group was 0.38 gr / dl greater than the control group.The sig value in the intervention group p-value 0.000 and control group 0.035 with a value ≤ 0.05. Conclusion: The results of the study show that moringa leaf preparations have significant benefits in increasing hemoglobin levels in pregnant women in their third trimester. Regular consumption of moringa leaf and avocado preparations can help meet iron requirements, improve nutritional status, and prevent the risk of anemia during pregnancy. Therefore, moringa leaf and avocado preparations can be recommended as a safe, affordable, and effective additional nutritional intervention to increase hemoglobin levels in pregnant women, and can be used as an alternative to iron supplements in antenatal care programs. Keywords: Hemoglobin, Moringa And Avocado Cookies, Pregnant Women
The Effect Of Lactation Counseling On Breastfeeding Success Among Postpartum Mothers
Latar Belakang: Menyusui merupakan proses fisiologis yang memberikan nutrisi kepada bayi secara optimal. Salah satu factor yang berpengaruh pada rendahnya pemberian ASI eksklusif enam bulan adalah rendahnya pengetahuan ibu tentang manfaat ASI bagi bayi dan manfaat menyusui bagi ibu. Tujuan: Untuk mengetahui pengaruh konseling laktasi terhadap keberhasilan menyusui ibu nifas di wilayah kerja Puskesmas Naras Kota Pariaman. Metodologi: Jenis penelitian ini adalah penelitian quasi experiment dengan desain post test only none quevalent control. Penelitian ini dilakasanakan di Wilayah Kerja Puskesmas Naras Kota Pariaman yang berjumlah sebanyak 30 orang (15 kelompok kontrol dan 15 kelompok perlakuan)., Pengumpulan data dilakukang dengan cara wawancara dan observasi langsung. Alat ukur yang digunakan adalah kuesioner. Data dianalisis secara univariat dan bivariat dengan menggunakan uji paired t test. Hasil Penelitian: Hasil penelitian yang ditemukan nilai adalah rata-rata ibu yang tidak diberikan konseling laktasi adalah 2.80. nilai rata-rata ibu yang diberikan konseling laktasi adalah 6.67. dan hasil penelitian ini adalah terdapat pengaruh konseling laktasi terhadap keberhasilan menyusui ibu nifas di wilayah kerja Puskesmas Naras Kota Pariaman dengan nilai p-value 0.000. Kesmpulan: terdapat pengaruh konseling laktasi terhadap keberhasilan menyusui ibu nifas di wilayah kerja Puskesmas Naras Kota Pariaman dengan nilai p-value 0.000. Saran: Disarankan bagi ibu nifas yang menyusui untuk mengikuti sesi konseling laktasi secara aktif baik selama kehamilan maupun setelah persalinan, guna memperoleh informasi dan dukungan praktis dalam proses menyusui Kata Kunci : Ibu Nifas Menyusui, Keberhasilan, Konseling ABSTRACT Background: Breastfeeding is a physiological process that provides optimal nutrition for the baby. One of the factors influencing the low rate of exclusive breastfeeding for six months is the lack of mothers’ knowledge about the benefits of breast milk for babies and the benefits of breastfeeding for mothers.. Purpose: To determine the effect of lactation counseling on the breastfeeding success of postpartum mothers in the working area of Naras Public Health Center, Pariaman City. . Method : This type of research is a quasi-experimental study with a post-test only non-equivalent control group design. The study was conducted in the working area of Naras Public Health Center, Pariaman City, involving a total of 30 respondents (15 in the control group and 15 in the treatment group). Data were collected through interviews and direct observations. The instrument used was a questionnaire. Data were analyzed univariately and bivariately using the paired t-test. Results: he results of the study showed that the average score of mothers who did not receive lactation counseling was 2.80, while the average score of mothers who received lactation counseling was 6.67. The findings indicated that there was a significant effect of lactation counseling on the breastfeeding success of postpartum mothers in the working area of Naras Public Health Center, Pariaman City, with a p-value of 0.000. Conclusion: There is a significant effect of lactation counseling on the breastfeeding success of postpartum mothers in the working area of Naras Public Health Center, Pariaman City, with a p-value of 0.000. Suggestion: It is recommended that breastfeeding postpartum mothers actively participate in lactation counseling sessions both during pregnancy and after childbirth in order to obtain information and practical support for the breastfeeding process.. Keywords: Breastfeeding Postpartum Mothers, Success, Counseling.