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Lisma Ningsih
Poltekkes Kemenkes Bengkulu
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Upaya Peningkatan Pengetahuan dan Sikap Ibu Hamil dalam Program Perencanaan Persalinan dan Pencegahan Komplikasi (P4K) melalui Pemberdayaan Kader Ningsih, Lisma; Novira, Daisy
Jurnal Kesehatan Vol 11, No 3 (2020): Jurnal Kesehatan
Publisher : Politeknik Kesehatan Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v11i3.2239

Abstract

As a breakthrough in accelerating the reduction in maternal mortality rates, the government since 2007 has launched a Maternity Planning and Prevention Complications Program (P4K). One effort to increase knowledge is health promotion with a community empowerment strategy. This study aimed to determine the effect of empowering cadres on the knowledge and attitudes of pregnant women about P4K. The study design used a quasi-experimental design by pre and post-test with control group design. The study population was all pregnant women, the sample was pregnant women who were selected purposively consisted of 60 people, 30 people in the intervention group, and 30 control groups. To analyze the data, the researcher used a paired t-test and independent t-test. The results showed that in the intervention group there was an increase of knowledge score (70,67) for before and (92,50) for after cadres empowerment, while in the control group there was no difference in the average knowledge score (74,67) before and (71,00) after an intervention (p-value 0,351). Moreover, In the intervention group, there was an increase in the attitude score of pregnant women before (78.67) and after (86.12) cadres empowerment, but in the control group there was no difference in the average attitude score before (77,46) and after (77,67) intervention (p-value=0,524). Empowering cadres can increase the knowledge and attitudes of pregnant women about P4K. It is hoped that the Health Office will further improve the implementation of P4K on an ongoing basis through the active role of the community, especially cadres.
Is there a Relationship Between Pregnant Women's Characteristics and Stunting Incidence In Indonesia? Simbolon, Demsa; Jumiyati, Jumiyati; Ningsih, Lisma; Riastuti, Frensi
KEMAS: Jurnal Kesehatan Masyarakat Vol 16, No 3 (2021)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v16i3.23550

Abstract

Teenage pregnancy has an impact on the outcomes. Teenage pregnancy is at risk of adverse health, an increased risk of domestic violence, poor nutrition, and sexual and reproductive health problems, lower levels of education, and higher levels of poverty compared to women who postpone marriage age. The study aims to determine the relationship between marriage and Adolescent pregnancy with the incidence of stunting in children under five years in Indoneasia.  The study used a cross-sectional approach from 2014 IFLS (Indonesian Family Life Survey) data. The bivariate analysis used the Chi-Square Test when the multivariate analysis used logistic regression. The results found the prevalence of stunting in Indonesia in 2014 was 36.6%. The stunting prevalence is higher in toddlers of married mothers of adolescents (42.4%) compared to mothers of married mature (35%). The stunting prevalence was also higher in children under five years from adolescent pregnant women (44.4%) compared to mothers who were of sufficient age (35.6%). Teenage pregnancy is associated with the incidence of stunting. A married teenage woman is 1.2 times at risk, and a woman who is less than 20 years pregnant is 1.3 times at risk of having a stunting toddler. Teenage pregnancy increases the prevalence of stunting. Cross-sectoral integrated interventioans are needed to prevent adolescent pregnancy. It is required to decrease the prevalence of stunting. The various risks that occur in teenage pregnancy are the basis for the importance of pregnancy prevention efforts in this age group by involving the related sectors.
THE RELATIONSHIP BETWEEN MATERNAL AND CHILD HEALTH SERVICES WITH THE PREVALENCE OF STUNTING BASED ON THE BASIC HEALTH RESEARCH IN INDONESIA Demsa Simbolon; Dhea Adevianti; Luluk Setianingsih; Lisma Ningsih; Lusi Andriani
The Indonesian Journal of Public Health Vol. 16 No. 2 (2021): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (304.415 KB) | DOI: 10.20473/ijph.v16i2.2021.177-187

Abstract

ABSTRACTStunting 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
Pemberdayaan Kader Gemari dalam Meningkatkan Pengetahuan dan Sikap Ibu Usia Remaja terhadap Perencanaan Keluarga di Kabupaten Bengkulu Tengah Demsa Simbolon; Jumiyati Jumiyati; Lisma Ningsih; Epti Yorita; Frensi Riastuti
Media Penelitian dan Pengembangan Kesehatan Vol 30 No 1 (2020)
Publisher : Sekretariat Badan Penelitian dan Pengembangan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (349.562 KB) | DOI: 10.22435/mpk.v30i1.434

Abstract

Abstract More than 50% of marriages in Bengkulu Province are adolescents marriages (less than 20 years). Adolescents marriage affects low levels of education, high incidence in the household, overcoming health problems, health problems in struggling children and psychological health of children because mothers of adolescents are less capable of planning a family. Therefore, community participation is needed to increase the knowledge and attitudes of adolescent mothers in family planning, namely through empowering Posyandu cadres and family planning cadres. The research design uses quasi experiment with pretest and posttest design with control group design. Research population is all married mothers aged 15-20 years. The sample is a teenage mother selected purposively by inclusion criteria of married mother, resident of settlement in Central Bengkulu Regency, able to communicate well and can read and write. Exclusion criterion is mother suffering from severe disease and not willing to follow the research process. The sample size is 60 people consist of 30 people of intervention group and 30 control group. The independent variable is empowerment of GEMARI cadres while dependent variable of knowledge and attitude of adolescent mother. Instruments using structured questionnaires. Data analysis technique using paired simple test and independent t-test. The results found in the intervention group there was an increase in knowledge scores before (61.67) and after (78.83) mentoring was carried out by GEMARI cadres (p = 0.001), but in the control group there was no difference in the average knowledge score before (66, 83) and after (64.67) intervention (p = 0.482). In the intervention group, there was an increase in the score of mothers’ attitudes about family planning before (78) and after (80.47) accompanied by GEMARI cadres (p = 0.036), while in the control group there was no difference in the average attitude score before (78, 33) and after (80.47) intervention (p = 0.114). Assistance of GEMARI cadres effectively improves knowledge and attitude of adolescent mother about family planning. Abstrak Lebih dari 50% pernikahan di Provinsi Bengkulu merupakan pernikahan usia remaja (kurang dari 20 tahun). Pernikahan usia remaja berdampak pada rendahnya tingkat pendidikan, tingginya angka kejadian kekerasan dalam rumah tangga, tingginya masalah kesehatan reproduksi, masalah kesehatan pada anak yang dilahirkan dan kesehatan psikologi anak karena ibu usia remaja kurang mampu merencanakan keluarga. Maka dari itu diperlukan partisipasi masyarakat untuk meningkatkan pengetahuan dan sikap ibu usia remaja dalam perencanaan keluarga, yaitu melalui pemberdayaan kader posyandu dan kader Keluarga Berencana. Desain penelitian menggunakan quasi eksperimen dengan rancangan pre test and post test with control group design. Populasi penelitian adalah seluruh ibu menikah usia 15-20 tahun. Sampel adalah ibu usia remaja yang dipilih secara purposif dengan kriteria inklusi ibu sudah menikah, penduduk menetap di Kabupaten Bengkulu Tengah, dapat berkomunikasi dengan baik, serta dapat membaca dan menulis. Kriteria eksklusi adalah ibu menderita penyakit berat dan tidak bersedia mengikuti proses penelitian. Jumlah sampel sebanyak 60 orang, terdiri dari 30 orang kelompok intervensi dan 30 orang kelompok kontrol. Variabel independen adalah pemberdayaan kader Gerakan Masyarakat Peduli (GEMARI) sedangkan variabel dependen pengetahuan dan sikap ibu usia remaja. Instrumen menggunakan kuesioner terstruktur. Analisis data menggunakan paired t-test dan independen t-test. Hasil penelitian menemukan pada kelompok intervensi terdapat peningkatan skor pengetahuan sebelum (61,67) dan sesudah (78,83) dilakukan pendampingan oleh kader GEMARI (p=0.001), namun pada kelompok kontrol tidak ada perbedaan rata-rata skor pengetahuan sebelum (66,83) dan sesudah (64,67) intervensi (p=0,482). Pada kelompok intervensi, terjadi peningkatan skor sikap ibu tentang perencanaan keluarga sebelum (78) dan setelah (80,47) dilakukan pendampingan oleh kader GEMARI (p=0,036), sementara pada kelompok kontrol tidak ada perbedaan rata-rata skor sikap sebelum (78,33) dan sesudah (80,47) intervensi (p=0,114). Pendampingan kader GEMARI dapat meningkatkan pengetahuan dan sikap ibu usia remaja tentang perencanaan keluarga.
FAKTOR RISIKO KEJADIAN ESRD (END STAGE RENAL DISEASE) PADA PENDERITA DIABETES MELITUS DI RSHD KOTA BENGKULU; CASE CONTROL STUDY HERU LAKSONO; TEDY FEBRIYANTO; LISMA NINGSIH
Journal of Nursing and Public Health Vol 11 No 1 (2023)
Publisher : UNIVED Press, Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/jnph.v11i1.4116

Abstract

Latar Belakang : ESRD didefinisikan sebagai kondisi kronis yang memunculkan dua atau lebih penyakit, dengan salah satu penyakit tidak selalu lebih sentral daripada yang lain. ESRD dapat mempengaruhi kualitas hidup, kemampuan untuk bekerja, kecacatan dan kematian. Diabetes melitus merupakan salah satu penyakit kronis yang dapat meningkatkan dengan cepat prevalensi ESRD pada penderitanya, bahkan kematian penyandang diabetes melitus tidak jarang disebabkan oleh ESRD. Salah satu ESRD yang menyebabkan kematian pada penderita diabetes melitus di Indonesia adalah penyakit gagal ginjal kronik stadium lima. Sepuluh persen penduduk di dunia mengalami Penyakit Ginjal Kronis dan jutaan meninggal setiap tahun karena tidak mempunyai akses untuk pengobatan. Laporan IRR 2018 menyebutkan bahwa diabetes melitus merupakan penyakit penyerta penderita ESRD terbanyak kedua setelah hipertensi. Terjadi peningkatan ESRD ESRD-DM pada tahun 2018 yaitu Penelitian ini bertujuan mengetahui faktor risiko kejadian ESRD pada penderita Diabetes melitus di RSHD Kota Bengkulu tahu 2022 Metode:Jenis penelitian yang digunakan adalah case control study. Populasi dalam penelitan ini adalah seluruh penderita DM dengan ESRD di ruangan Hemodialisa RSHD Kota Bengkulu sebagai kelompok kasus yaitu sebanyak 25 orang dan sebagai kelompok kontrol dengan jumlah sampel sebanyak 75 orang (1:3). di Poli Penyakit Dalam RSHD Kota Bengkulu Teknik pengambilan sampel yang digunakan adalah convenience sampling yaitu sampel merupakan penderita yang ditemukan pada saat dilaksanakan penelitian. Hasil dan Pembahasan: Hasil analisis multivariat menunjukkan adanya hubungan antara variabel lama sakit (OR=2,770; 95% CI=1,300- 5,904), diit (OR=2,770; 95% CI=1,300-5,904) dan keteraturan minum obat (OR=2,770; 95% CI=1,300-5,904) dengan kejadian ESRD pada penderita DM. Kesimpulan: hasil penelitian ini menunjukan bahwa yang memiliki hubungan erat dengan kebiaasaan diit, lama sakit, dan keteraturan minum obat.
The Influence of Calcium and Iron Supplementation in Pregnant Women to Affect Newborn Body Length in Bengkulu Agung Riyadi; Lisma Ningsih; Jumiyati Jumiyati; Antun Rahmadi
Media Gizi Indonesia Vol. 18 No. 1SP (2023): MEDIA GIZI INDONESIA (NATIONAL NUTRITION JOURNAL) Special Issue: The 2nd Ben
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v18i1SP.38-45

Abstract

In 2021, the rate of stunting in Indonesia was 24.4%, and 21.1% happened in Bengkulu province. In 2020, the proportion of pregnant women who receive iron tablets in Bengkulu Province was 97%. Some regencies have a lower proportion, such as North Bengkulu at 87%. Pregnant women who suffer from the lack of iron and folic acid intake may experience anemia and impaired fetal growth. The aim of this study is to investigate the effect of calcium and iron supplementation in pregnant women on newborn body length in Bengkulu Province. This study used an experimental design with a post-test-only control group. The population was third semester pregnant women in Bengkulu Province. Subjects were taken using purposive sampling technique. The number of subjects involved was 29 in intervention group and control group. Instruments used ini this study were food frequency questionaire (FFQ), mid upper arm circumference tape, and a respondent characteristics questionnaire. Data analysis methods include independent t-test, correlation, and double linear regression. The consumption of iron tablets and calcium tablets (p=0.0001), as well as the nutritional status of pregnant women (p=0.0001), have significant effect on newborns body length. Calcium and iron tablets supplementation improve the nutritional status of pregnant women and increase newborn body length. However, it should be measured by using same controlling variables such as education, age, parity, protein intake, vitamin C intake, knowledge and gestational age of childbirth.
The Use of Android-Based Applications “Drinking Alert” to Influences on Knowledge and Attitude of Adolescents in Fulfillment Mineral Water Consumption in Bengkulu City Wisuda Andeka Marleni; Ratu Matahari; Lisma Ningsih; Reka Lagora Marsofely
Media Gizi Indonesia Vol. 18 No. 1SP (2023): MEDIA GIZI INDONESIA (NATIONAL NUTRITION JOURNAL) Special Issue: The 2nd Ben
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v18i1SP.1-6

Abstract

Humans need source of energy, one of them is the need for drinking water. It is known that 70% of the parts in the human body are liquid. Humans need an adequate supply of water to maintain freshness and physical fitness. A study in Indonesia found that 49.5% of adolescents and 42.5% of adults were mildly dehydrated. Teenagers are more often dehydrated because of the many physical activities of adolescents that can drain energy and body fluids, causing a lack of fluid consumption. The purpose of the study was to determine the effect of the use of an android-based application drinking alert on the knowledge and attitudes of adolescents in fulfillment water consumption in Bengkulu City. This study was quantitative with the quasi-experimental design. There were 60 respondents that chosen by purposive sampling method in the intervention group dan control group with inclusion are adolescencts aged 12-14 years, and adolescents who can be invited to communicate and have an android device and distinguish the exclusion of adolescents who experience impaired kidney function and do not want to be involved in research. There were 60 respondents who were engaged to this study. The data was analyzed using Wilcoxon and Mann-Whithney test. Based on the results of the study there is difference on the knowledge and attitude scores of adolescents given an android-based application using drinking Alert and control cards with (p < 0.05). The use of the android-based application "drinking alert" is more influential in increasing the knowledge and attitudes.
STRUCTURAL EQUATION MODELING OF CLEAN AND HEALTHY LIVING BEHAVIOR AMONG MOTHERS IN HOUSEHOLDS Lisma Ningsih; Heru Laksono
Proceeding B-ICON Vol. 2 No. 1 (2023): Proceeding of The 3rd Bengkulu International Conference on Health (B-ICON 2023)
Publisher : Poltekkes Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33088/bicon.v2i1.200

Abstract

The number of maternal deaths in Bengkulu Province for the last three years is still high, and Bengkulu City is one of the second highest contributors to maternal mortality. The purpose of this study was to determine whether the proposed theoretical model is suitable (fit) to explain the determinants of clean and healthy living behavior in mothers in the home setting in Bengkulu City in 2021. Quantitative research method with cross sectional research design. The research population is mothers who have toddlers in Bengkulu City, while the research sample is mothers who have toddlers who were chosen intentionally. The variable being measured is the latent variable, so it uses a structural equation modeling (SEM) application that examines the relationship between the variables as a unit. Clean and healthy living behavior (PHBS) in mothers in household settings in Bengkulu City is still low on the indicators of consumption of vegetables and fruit (8.7%) and non-smoking behavior (39.7%). The factor that plays the strongest role in shaping clean and healthy living behavior is perception. Clean and healthy living behavior can be improved if they have good knowledge, receive adequate social support, correct perception of clean and healthy living behavior and the availability of adequate sources of information. It is hoped that the Bengkulu City Health Office through the Coordinator of Midwives, Health Promoters and Cadres can encourage clean and healthy living behaviors in mothers by involving village officials or their peers so that together they improve clean and healthy living behaviors.
History of Risky Pregnancies and Failure of Exclusive Breastfeeding in Indonesia Demsa Simbolon; Nur Mahdiyah Merly Yanti; Lisma Ningsih
Jurnal Ilmu Kesehatan Masyarakat Vol. 14 No. 3 (2023): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2023.14.3.332-348

Abstract

The coverage of exclusive breastfeeding for infants in Indonesia still needs to be higher compared to the national target (80%). Low coverage of exclusive breastfeeding is a risk factor for various nutritional problems in toddlers. The causes of failure of exclusive breastfeeding are multifactorial, including risky pregnancy. This study aims to determine the association of risky pregnancies with the failure of exclusive breastfeeding using national data from the 2017 Indonesian Health Demographic Survey (IDHS) with a cross-sectional design. The study sample that met the criteria was 6,689 mothers with children aged 6-23 months. The independent variable is risky pregnancy (parity, pregnancy spacing, age during pregnancy), and the dependent variable is the failure of exclusive breastfeeding. Data analysis using multivariate logistic regression. The results found that only 26.2% of exclusive breastfeeding practices. Risky pregnancy is associated with the failure of exclusive breastfeeding. Mothers with too much parity risked 1,195 times, mothers with primiparous parity risked 1,716 times, too close birth spacing risked 1,210 times, and too young mothers were 1,267 times more likely not to exclusively breastfeed than mothers who had normal pregnancies after controlling for the area of residence. It is necessary to improve health promotion programs to the public regarding the importance of offering exclusive breastfeeding to infants and improving fertility characteristics.
Pendekatan Fenomenologi tentang Pola Asuh Ibu Balita Stunting Sumiarti, Wenti; Ningsih, Lisma; Sumaryono, Dino; Patroni, Rini; Simbolon, Demsa
Jurnal Kesehatan Vol 13 No 3 (2022): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v13i3.3181

Abstract

The high prevalence of stunting is caused by poor parenting. Data from the Health Profile of Bengkulu Province in 2019 showed that as many as 700 toddlers experienced stunting in Seluma Regency, and as many as 35 cases of toddlers experienced stunting in the working area of the Babatan Health Center. This study aims to obtain an overview of the parenting pattern of stunting in Air Petai Village, Sukaraja District, Seluma Regency. This study uses a qualitative method with a phenomenological approach. Sources of data were obtained through in-depth interviews, observation, and document review. The informants of this study consisted of the main informants, namely 6 mothers with stunting toddlers, and 2 supporting informants, namely the Posyandu Cadre in Air Petai Village and nutrition practitioners (TPG) at the Babatan Health Center. The results showed that early initiation of breastfeeding was not applied to all toddlers. Some informants do not breastfeed until the child is 2 years old. The informant thought that if breast milk was given until the age of 2 years, it would be difficult to do weaning. Some informants often forget to wash their hands before feeding their children because they are busy taking care of the household. Health workers and Posyandu cadres hoped can carry out health promotions to mothers in Air Petai Village regarding good parenting, especially to pregnant and lactating women.
Co-Authors Agung Riyadi Andriana Marwanto Avrilya Iqoranny Susilo Ayu, Dea darwis darwis, darwis Demsa Simbolon Dhea Adevianti Dino Sumaryono Ervina, Lissa Febriyanto, Tedy Frensi Riastuti Heru Laksono Ismiati Ismiati Jumiyati Jumiyati Jumiyati, Jumiyati Junitasari, Helen Kamsiah Linda Linda Luluk Setianingsih Lusi Andriani, Lusi Marleni, Wisuda Andeka Muslim, Zamharira Ningsih, Wike Afrilia Novira, Daisy Nur Mahdiyah Merly Yanti Panji Patroni, Rini Rahmadi, Antun Ratu Matahari Reka Lagora Marsofely Riastuti, Frensi Saparini, Suci Sarkawi Sumiarti, Wenti Yorita, Epti