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Ukuran Lingkar Lengan Atas (LiLA) Ibu Hamil dengan Kejadian BBLR Sulistyowati, Niken Dwi; Santosa, Budi Joko; Usnawati, Nana; Rahayu, Teta Puji
2-TRIK: TUNAS-TUNAS RISET KESEHATAN Vol 13, No 1 (2023): Februari 2023
Publisher : FORUM ILMIAH KESEHATAN

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Abstract

      Bayi berat lahir rendah adalah bayi yang lahir dengan berat badan kurang dari 2.500 gram. Salah satu faktor yang dapat mempengaruhi kejadian BBLR adalah status gizi ibu dimana status gizi ibu hamil dapat diukur menggunakan ukuran lingkar lengan atas (LiLA). Penelitian ini bertujuan untuk mengetahui hubungan lingkar lengan atas (LiLA) dengan kejadian BBLR. Jenis penelitian survei analitik dengan rancangan case control, populasi dalam penelitian ini adalah seluruh bayi dengan berat lahir rendah di wilayah kerja Puskesmas Poncol, diambil secara simple random sampling di telusuri secara retrospektif dengan menggunakan perbandingan 1:1 maka sampel terbagi menjadi 52 sampel kasus dan 52 sampel kontrol, variabel independent (LiLA) sedangkan variabel dependen (BBLR). Instrument penelitian menggunakan buku register kohort. Pengukuran dengan chi-square dan odd ratio CI95%. Hasil uji statistik  Chi-square didapatkan x2 : 3,446 nilai p = 0,063 sehingga H0 di terima tidak ada hubungan LiLA ibu hamil dengan kejadian BBLR. Dimungkinkan ada faktor selain LiLA untuk kejadian BBLR di Puskesmas Poncol. Risiko kejadian BBLR 2,820 kali pada ibu hamil LiLA < 23,5 cm  dibandingkan ibu hamil LiLA ≥ 23,5 cm. Diharapkan untuk penelitian selanjutnya lebih meningkatkan deteksi dini pada ibu hamil untuk pencegahan bayi berat lahir rendah.kesimpulanKata kunci: LiLA; BBLR
Hubungan Pola Asuh Dengan Perilaku Emosional Anak Nur Husnina, Nabilah Zul Awanis; Santosa, Budi Joko; Usnawati, Nana; Rahayu, Teta Puji
2-TRIK: TUNAS-TUNAS RISET KESEHATAN Vol 13, No 4 (2023): November 2023
Publisher : FORUM ILMIAH KESEHATAN

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Abstract

Latar Belakang : Masalah perilaku emosional sejak dini dapat menyebabkan masalah kejiwaan jika terlambat diketahui. Setiap orang tua mempunyai pola asuh yang berbeda, gaya pengasuhan yang tidak baik akan menurunkan perkembangan sosial anak.Tujuan : Menemukan hubungan antara pola asuh orang tua dengan perilaku emosional anak usia 4-6 tahun di TK Marsudi Siwi Magetan.Metode : Penelitian ini merupakan penelitian analitik observasional dengan pendekatan cross sectional. Pengambilan sampel menggunakan model slovin dan didapatkan responden. Variabel independent adalah pola asuh orang tua, sedangkan variabel dependent adalah perilaku emosional. Pengumpulan data menggunakan kuesioner PSDQ dan KMPE, lalu diolah dan dianalisis menggunakan uji Chi-Square.Hasil : Orang tua yang menerapkan pola asuh demokratis sebanyak 14 orang, dan anak yang kemungkinan mengalami masalah perilaku emosional sebanyak 13 anak. Hasil uji Chi-Square menunjukkan pengaruh pola asuh orang tua dengan perilaku emosional anak usia 4-6 tahun nilai p-value = 0,002, sehingga Ho ditolak (p = 0,05).Kesimpulan : Dalam menentukan pola asuh pada anak sebaiknya orang tua menerapkan pola asuh deokratis.Saran : Diharapkan kedepannya anak menjadi pribadi lebih baik untuk menjadi penerus bangsa yang berkualitas.Kata kunci: pola asuh orang tua; perilaku emosional.
Improving Knowledge and Skills Through ECEP and Integrated Service Posts for Stunting Prevention Suparji, Suparji; Rahayu, Teta Puji; Handayani, Tinuk Esti
Health Dynamics Vol 1, No 7 (2024): July 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd10706

Abstract

Stunting is a serious health problem in Indonesia, affecting children's growth and development and the future of the younger generation. This community service aims to accompany early childhood education program (ECEP)and Integrated Service Post in implementing Early Stimulation, Detection and Intervention for Growth and Development of Children (ESDIGDC) services as an effort to prevent stunting. This activity involves training and mentoring for ECEP teachers and Integrated Service Post toddler cadres, focusing on understanding stunting, growth measurement techniques and appropriate early stimulation. The results of this program show a significant increase in participants' knowledge and skills regarding stunting and early detection. Parent participation in Integrated Service Post activities has also increased, with more children being checked regularly. In addition, several cases of stunting were detected early, allowing immediate intervention. The positive impact of this program is not only seen in stunting prevention, but also in increasing public awareness of the importance of monitoring children's growth and development and strengthening collaboration between ECEP and Integrated Service Post. Overall, this assistance has proven to be effective as a stunting prevention service intervention. It is hoped that this program can be adopted in other regions as a model in efforts to reduce stunting rates nationally.
Trend of Anemia Prevalence in Pregnant Women in the Working Area of Sukosari Health Center, Madiun City, 2018-2022 Sari, Nur Heliana; Nugroho, Heru Santoso Wahito; Handayani, Tinuk Esti; Rahayu, Teta Puji
Health Dynamics Vol 1, No 2 (2024): February 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd10203

Abstract

Pregnancy anemia poses a significant national challenge due to its adverse impact on human resource (HR) quality. Without proper management, it can lead to maternal and fetal complications, even death. This study aimed to determine the trend of anemia prevalence of pregnant women from 2018-2022 in the working area of Sukosari Health Center, Madiun City. Conducted as descriptive quantitative research with predictive elements, it encompassed 2157 pregnant women in the center's jurisdiction. Utilizing the total population as the sample, data was collected from maternal LB3 documents. Trendline analysis in MS Office Excel revealed the trend and prediction of the anemia prevalence in the following year by displaying the equation display on chart. The results showed a trend and prediction of the anemia prevalence for pregnant women at the end of 2023, the total Sukosari Health Center increased. The trend and prediction of the prevalence of pregnant women in each village and each trimester of pregnancy also increased. The highest increase in the anemia prevalence for pregnant women occurred in Klegen Village and in the first trimester of pregnancy. From these results, it can be concluded that the trend of anemia prevalence of pregnant women at the health center has increased and exceeds the target set by the Madiun City Health Office, which is <15%. This condition needs to be monitoring and paid special attention to by increasing education on the prevention and treatment of anemia among adolescent girls and pregnant women, monitoring and evaluating the program of giving blood-added tablets, and maximizing local area monitoring of pregnant women. Innovative efforts can also be made in the form of taking blood tablets together on the opening day of pregnancy check-up services and during the implementation of classes for pregnant women and organizing classes for brides-to-be at health centers.
Community Empowerment in Stunting Prevention: Implementation of the UBaMa Method (Ultra Violet Rays and Baby Massage) Handayani, Tinuk Esti; Rahayu, Teta Puji
Health Dynamics Vol 1, No 10 (2024): October 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd11005

Abstract

Babies are an age group that is vulnerable to stunting. The incidence of stunting in Ngariboyo District in 2022 was 185 (13.14%) children under five, the highest occurred in Mojopurno Village, which was 49 (19.91%) children under five. The purpose of this activity is to improve the understanding, attitude and behavior of baby mothers in stimulation with the UBaMa method. The method carried out is to conduct a pre-test for baby mothers, followed by providing explanations and training on the UBaMa method. After that, the baby's mother was asked to carry out UBaMa at home, evaluated at the second meeting and so on until the fourth meeting. After the fourth meeting, a post-test was carried out. The results achieved were an improvement in the skills of mothers under five to do stimulation with the UBaMa Method with a proficiency of 68%.  Knowledge Improvement with pre-test 49 and post-test 83.75. The UBaMa Stimulation Method (Ultra Violet and Baby Massage) can improve the growth and development of babies. It is recommended that the baby's mother periodically stimulate UBaMa at least 3 times a week to increase breast milk production so that it can be used to prevent stunting.
Empowerment Disaster-Resilient Village Forums for Health Crisis Preparedness: A Participatory Action Research Approach Sunarto, Sunarto; Nugroho, Heru Santoso Wahito; Suparji, Suparji; Prasetyo, Aries; Sulikah, Sulikah; Rahayu, Teta Puji
Health Dynamics Vol 1, No 11 (2024): November 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd11103

Abstract

This study aims to enhance the Disaster Resilient Village (Destana) forum's preparedness for disaster-related health crises. The key challenges identified are low community response to early warning systems and slow mobilization of health resources, both contributing to high victim numbers and exacerbating health crises. The study focuses on creating an accessible early warning system and accelerating health resource mobilization, prioritizing these elements based on an analysis of disaster preparedness parameters. Using Action Research with a Participatory Action Research (PAR) design, the research was conducted in Magetan Regency, East Java, involving 150 Destana forum administrators. The study explores the development of early warning procedures, health contingency plans, emergency response structures, and simulation plans. The findings reveal that the Destana forum successfully developed tailored health contingency plans for each village, including an inclusive early warning system Standard Operating Procedure (SOP) for vulnerable groups. Additionally, an integrated health command structure was formed, enhancing emergency response coordination. Emergency response simulations with 90 participants demonstrated improved readiness and community engagement in handling health crises. The study highlights the importance of a participatory, sustainable approach to building resilience, showing that active community involvement fosters collective responsibility for managing health crises during disasters.
Prevention of Early Jaundice in Babies Through Empowerment: Quasi-Experiments with Pregnant Women Nainggolan, Lenny; Wahyuni, Tengku Sri; Rahayu, Teta Puji; Ngestiningrum, Ayesha Hendriana
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 13 No. 1 (2025): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educatio
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V13.I1.2025.18-26

Abstract

Background: Jaundice is a health problem for newborns that occurs in around 60% of term pregnancies and around 80% of premature pregnancies. Babies who experience severe jaundice need to receive proper examination and treatment to prevent morbidity and death. Mothers' role in overcoming the lack of breast milk in newborn babies is important. Hence, they need to be educated and empowered to avoid health problems that can be prevented if mothers and babies receive timely care. Objectives: This research aims to analyze the effect of maternal empowerment on preventing early jaundice in babies in Pematangsiantar City. Method: The method used was the quasi-experimental design with a non-equivalent control group design model, carried out on 62 pregnant women and jaundice assessment on 62 newborns (31 pregnant women who were given education and monitored for empowerment and 31 mothers who were given education but not monitored). Sampling was taken using consecutive sampling. Data collection used a validated questionnaire and statistical tests with chi-square. Results: Statistical tests showed that, after empowering mothers, 90.3% implemented IMD in the intervention group and 83.9% in the control group (p=0.707). The results showed that after empowering mothers there were 93.5% of babies did not experience jaundice, and in the control group 71.0% did not experience jaundice. Statistically, there was a difference between the two groups (p=0.46). Conclusion: Maternal empowerment can influence the prevention of jaundice in babies. Implementation of empowerment through providing education about IMD, breastfeeding, and jaundice needs to be carried out by health workers.
Increased Success in Exclusive Breastfeeding with the Use of Guidelines for Lactation Cadre Assistance Rahayu, Teta Puji; Handayani, Tinuk Esti; Sumaningsih, Rahayu
Health Dynamics Vol 2, No 2s (2025): February 2025 (Special Issue)
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd202s06

Abstract

Background: The support of health cadres plays an important role in the success of the exclusive breastfeeding program. Health cadres have been widely involved in various activities carried out in the village, especially for maternal and child health programs, but for lactation cadre assistance to postpartum mothers is still not active because there are no lactation cadre assistance guidelines that can be used. The purpose of this study is to develop guidelines for assisting lactation cadres and assess their effectiveness in increasing the success of exclusive breastfeeding. Methods: This research is a Research and Development (R&D) research, starting with a literature study by studying journals and books related to health cadres and Exclusive Breastfeeding. Compile guidelines for assisting lactation cadres from the results of development. Data was collected using a questionnaire through FGD together with 50 health cadres, 2 village midwives and 3 representatives from the Magetan Regency Health Office, expert consuls followed by the revision and finalization of lactation cadre assistance guidelines. Results: This research produced guidelines for assisting lactation cadres, the results of the evaluation of guidelines for assisting lactation cadres through the process of development, formulation of strategic issues, and FGD. Conclusions: The guidebook for lactation cadres is a strategic step in supporting the success of the Exclusive Breastfeeding program so that it can increase the success of Exclusive Breastfeeding in the community.
Strengthening Disaster-Resilient Villages Through Participatory Approaches: Policy Recommendations for Village Governments Sunarto, Sunarto; Wahito Nugroho, Heru Santoso; Suparji, Suparji; Rahayu, Teta Puji; Sulikah, Sulikah; Sumasto, Hery; Khambali, Khambali
Health Dynamics Vol 2, No 4 (2025): April 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20405

Abstract

Village resilience is an important foundation in community-based disaster risk reduction efforts. This policy brief is prepared based on recommendations from the results of village resilience assessment research. The research as the basis for the policy brief was conducted in 30 Disaster Resilient Villages in Magetan Regency using the Participatory Action Research (PAR) method, which emphasizes active community involvement in the assessment process. The assessment was carried out by filling out a questionnaire from the National Disaster Management Agency (BNPB) containing 128 questions and covering five main aspects: basic services, regulations and policies, prevention and mitigation, emergency preparedness, and post-disaster recovery. The questionnaire was filled out through interviews and focus group discussions (FGD). The results showed that only around 20% of villages achieved the Main Disaster Resilient Village category. This shows the need for an increase in overall efforts made by the disaster resilient village forum together with the village government. Two main recommendations are proposed. First, strengthening the capacity of the Disaster Resilient Village Forum as the driving force for disaster risk management activities at the village level. This forum needs to be supported through training, facilitation, and strengthening its role in program planning and implementation. Second, the allocation of village funds needs to be increased by around 5–8% to fund activities such as disaster-resistant infrastructure development, disaster mitigation, capacity training, emergency response simulations, procurement of facilities and infrastructure, emergency response funds, and post-disaster recovery. The success of both recommendations is highly dependent on collaboration between local and village governments. Local governments need to support with clear regulations, technical assistance, and adequate budgets. Meanwhile, village governments need to include disaster risk reduction in development plans. This synergy will accelerate the realization of disaster-resilient villages.
Penguatan Kapasitas Masyarakat Desa Jajar, Kabupaten Magetan, Jawa Timur dalam Menghadapi Krisis Kesehatan Akibat Bencana melalui Pendekatan Participatory Action Research Sunarto, Sunarto; Suparji, Suparji; Nugroho, Heru Santoso Wahito; Rahayu, Teta Puji; Usnawati, Nana; Pertiwi, Nabila Putri; Prasetyo, Aries
Jurnal Abdi Masyarakat Indonesia Vol 5 No 5 (2025): JAMSI - September 2025
Publisher : CV Firmos

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54082/jamsi.2052

Abstract

Desa Jajar di Kabupaten Magetan memiliki potensi bencana banjir yang tinggi, namun kapasitas masyarakat dalam merespons krisis kesehatan akibat bencana masih terbatas. Kondisi ini meningkatkan kerentanan, terutama bagi kelompok rentan di tingkat komunitas. Kegiatan Pengabdian kepada Masyarakat ini menggunakan pendekatan Participatory Action Research (PAR) untuk meningkatkan kapasitas penanggulangan krisis kesehatan berbasis komunitas. Sebanyak 40 peserta dari berbagai unsur masyarakat dan lembaga desa, termasuk PKK, forum desa tangguh bencana (Destana), karang taruna, perlindungan pasyarakat (Linmas), tenaga kesehatan, TNI/Polri, dan perangkat desa mengikuti pelatihan selama enam hari (40 JPL). Materi meliputi analisis risiko krisis kesehatan, penyusunan peta risiko, struktur komando tanggap darurat, serta topik terkait kesehatan dasar, gizi, kesehatan reproduksi, pengendalian penyakit, dan penyehatan lingkungan di pengungsian. Pelatihan menghasilkan peningkatan signifikan dalam pemahaman dan keterampilan peserta, khususnya dalam penyusunan lima peta: peta ancaman, kerentanan, kapasitas, risiko krisis kesehatan, dan peta respon. Pemahaman peserta terhadap materi dasar penanggulangan krisis kesehatan juga meningkat. Dari delapan unsur peserta, empat unsur (Forum Destana, TNI/Polri, tenaga kesehatan, dan kader kesehatan) mencapai nilai post-test melebihi standar, sedangkan kelompok Linmas dan PKK masih di bawah standar. Partisipasi yang tinggi menunjukkan keterlibatan aktif masyarakat dalam proses pembelajaran. Ketangguhan Desa Jajar dalam menghadapi krisis kesehatan akibat bencana meningkat, dengan kategori akhir “Tangguh Utama”. Pendekatan PAR terbukti efektif dalam membangun kolaborasi dan memperkuat sistem kesiapsiagaan berbasis komunitas