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Abstrak :
Kesehatan reproduksi remaja bukan hanya masalah biomedis semata-mata, melainkan juga merupakan masalah sosial budaya. Salah satu masalah sosial budaya adalah sikap terhadap kesehatan reproduksi remaja yang berkaitan dengan masalah budaya berbeda-beda, khususnya menganggap tabu jika membicarakan masalah seksual oleh orang yang belum menikah. Menurut survei yang dilakukan Lembaga Demografi Fakultas Ekonomi Universitas Indonesia (LDFEUI) dan Badan Koordinasi Keluarga Berencana Nasional (BKKBN) tahun 1999, terdapat 46,2% remaja masih percaya mereka tidak akan hamil setelah melakukan hubungan seks untuk yang pertama kali. Sikap remaja terhadap kesehatan reproduksi di Kota Tangerang belum diketahui tetapi dapat digambarkan dari usia perkawinan remaja putri rata-rata 16 tahun. Tujuan penelitian ini untuk mengetahui faktor-faktor yang berhubungan dengan sikap terhadap kesehatan reproduksi remaja pada siswa kelas dua Sekolah Menengah Umum (SMU) Negeri di Kota Tangerang tahun 2001. Tujuan khususnya untuk mendapatkan informasi mengenai faktor karakteristik dan juga sumber informasi terhadap sikap kesehatan reproduksi remaja. Penelitian ini menggunakan rancangan cross- sectional. Populasinya adalah siswa kelas dua SMU Negeri di Kota Tangerang dengan sampel sebanyak 200 orang. Penelitian ini menggunakan analisis dengan uji univariat, bivariat dan multivariat. Hasil penelitian menunjukkan bahwa 45,5% remaja bersikap positif terhadap kesehatan reproduksi remaja, sementara 54,5% bersikap negatif. Secara bivariat variabel-variabel yang mempunyai hubungan bermakna adalah jenis kelamin, pendidikan ayah, pengetahuan, peran media massa dan peran agama. Secara multivariat variabel yang paling dominan berhubungan bermakna dengan sikap terhadap kesehatan reproduksi adalah variabel atau faktor pengetahuan tentang kesehatan reproduksi dengan nilai OR sebesar 3,24. Dengan mempertimbangkan hasil penelitian ini, penulis menyarankan untuk memberikan informasi kesehatan reproduksi pada remaja sedini mungkin. Hal ini dapat melibatkan lembaga pendidikan, orang tua, masyarakat untuk mencegah sikap negatif terhadap kesehatan reproduksi.

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Factors Related to the Teenager's Attitude on Reproductive Health in Second Class Students of Government Senior High School in Tangerang Municipality, Year 2001Teenager's reproductive health is not only biomedical but also sociocultural problem. The teenager's attitude concerning sociocultural are different, especially taboo for sexual discussion. According to the survey conducted by Demographic Institution of Economic Faculty, University of Indonesia (LDFEUI) and National Board on Family Planning (BKKBN), 46,2% of teenagers still believe that they will not getting pregnant after having sexual intercourse for the first time. The teenager's attitudes on reproductive health especially in Tangerang Municipality haven?t been known. The purpose of this research is to know the factors related to the teenager's attitude on reproductive health in students of Senior High School in Tangerang Municipality especially getting information on characteristic factors as well as information source to the attitude of reproductive health. The research used cross sectional design, the population was second class students of Government Senior High School in Tangerang with 200 samples. This research used univariate, bivariate and also multivariate analysis. The result showed that 45, 5% of teenager's attitudes were positive while 54, 5% were negative. Those variables which have significant values are sex, father's education, knowledge as well as mass media and religion. The most dominant variable is knowledge on reproductive health with OR. = 3, 24. Considering the result of this research, I suggest to give information of reproductive health to the teenagers as early as possible. This could involve education institutions, parents and community in order to prevent negative attitude on reproductive health.

Abstrak :
Di Indonesia kebanyakan pasien kanker serviks datang pada stadium lanjut (62%) yang merupakan 66% dari penyebab kematian ginekologik. Pemeriksaan Pap Smear merupakan salah satu cara untuk mendeteksi secara dini kanker serviks sehingga penanganan kanker serviks dapat dilakukan sebelum menyebar ke luar rahim. Tujuan penelitian ini adalah untuk mengetahui peranan faktor-faktor yang menyebabkan mereka terlambat memeriksakan diri di RSUPN Dr. Cipto Mangunkusumo Jakarta. Penelitian ini memadukan metoda kuantitatif dan kualitatif. Data primer diambil dengan menggunakan kuesioner, wawancara mendalam dan membaca catatan dokumen. Hasil penelitian menunjukkan bahwa variabel-variabel yang berhubungan seeara statistik dengan keterlambatan pasien kanker serviks memeriksakan diri adalah pengetahuan, sikap, ketersediaan pelayanan Pap Smear dan dorongan suami. Biaya dan dorongan petugas kesehatan tidak berhubungan secara statistik tetapi penting khususnya penghasilan untuk membayar biaya pemeriksaan. Ketersediaan pelayanan Pap smear merupakan variabel yang dominan mempengaruhi variabel dependen. Berdasarkan wawancara mendalam dapat disimpulkan bahwa memang tidak tersedianya pelayanan Pap Smear disamping kurangnya pengetahuan yang menjadi penyebab informan terlambat memeriksakan diri dengan alasan tidak ada satupun petugas kesehatan atau orang lain yang menyampaikan informasi mengenai Pap Smear dan kanker serviks. Mempertimbangkan hasil penelitian maka disarankan kepada semua pihak yang terkait untuk meningkatkan upaya penanganan kanker serviks melalui KIE secara terkoordinir lintas sektoral kepada masyarakat umumnya, terutama kepada wanita masa reproduksi dan lansia agar memperhatikan pelayanan deteksi dini (Pap Smear).

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An Analysis on the Delay of Cervix Cancer Patient in Examining Their selves in The National Hospital of Dr. Cipto Mangunkusumo, JakartaIn Indonesia most of the cervix cancer patients come to see doctors after advanced stadium (62 %) which 66 % ended with gynecological death. The smear test is a method to detect the cervix cancer earlier before spreading outside the uterus. The purpose of this research is to identify factors related to the delay of the health examination in The National Hospital of Dr. Cipto Mangunkusumo, Jakarta. This research combines quantitative and qualitative methods by using questionnaire, in-depth interview and examine medical records to supplement the primary data. The research result indicates variables related statistically with the cancer patient delay are; knowledge, attitudes, the availability of the Pap smears service, and the husband's support. Financial problem and encouragement from the health providers are not related statistically but it is important especially the income. The availability of Pap smear service plays as a dominant variable in affecting the dependent variable. Based on depth interview it is concluded that the unavailability of Pap smear services despite the lack of knowledge has caused the informant did not use the early detection service (Pap smear) with reason there was no health provider or other people gave information about the Pap smear and cervix cancer. Considering the research result, it is suggested that all related parties improve the handling of the cervix cancer through Communication, Information and Education (KIE), which is coordinated through cross sector way to the public, especially KIE should be focused on women during their reproductive term and the elder women so that they will pay more attention to early detection service (Pap smear).

Abstrak :
[ABSTRAK
Persepsi Ketidakcukupan ASI (PKA) adalah pikiran atau perasaan ibu terhadap kondisi ketiadaan atau berkurangnya produksi ASI sehingga ibu merasa bahwa ASI-nya tidak cukup untuk memenuhi kebutuhan bayinya. PKA menjadi alasan utama ibu berhenti menyusui secara dini dan alasan untuk memberikan makanan tambahan lebih awal pada bayinya. Prevalensi PKA belum diketahui secara pasti, diperkirakan antara 30-80% dari ibu yang menyusui mempunyai PKA. Penelitian ini bertujuan untuk membuktikan faktor ?faktor yang berhubungan dengan PKA pada ibu yang memiliki bayi usia 0-6 bulan di wilayah kerja Puskesmas Sewon Yogyakarta. Desain penelitian ini menggunakan Cross Sectional. Jumlah sampel dalam penelitian ini sebanyak 71 sampel ibu yang memiliki bayi 0-6 bulan yang gagal menyusui secara eksklusif dikarenakan mengalami PKA. Hasil analisis didapatkan sebanyak 59 (83,1%) ibu memiliki PKA dengan ASI yang cukup. Ada hubungan yang bermakna konseling ASI saat Antenatal Care (ANC) dengan PKA yang mempunyai ASI cukup, ibu yang tidak mendapatkan konseling saat ANC berpeluang 19,7 kali mempunyai PKA, p=0,012; OR=19,746 (CI 95% 1,926-202,456). Konseling ASI pada saat ANC yang berkualitas merupakan hal yang sangat penting dilaksanakan oleh petugas kesehatan untuk persiapan menyusui. Pemanfaatan ?Temu wicara? dalam konsep 10 T dalam ANC perlu diefektifkan untuk membahas persiapan laktasi.

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ABSTRACT
Insufficient perception ASI (PKA) is the mother's thoughts or feelings about the condition of the absence or reduction in milk production. She felt that her breast milk is not enough to satisfy the needs of the baby. PKA was the main reason mothers stop breastfeeding early and a reason to give extra food early on the baby. Prevalence of PKA is not certain, it is estimated between 30-80% of breastfeeding mothers has PKA. This study aims to prove the factors related to PKA in mothers whom had infants aged 0-6 months in Sewon Health Centre Yogyakarta. Design of this study using cross sectional. The numbers of samples in this study were 71 samples of mothers with babies? 0-6 months exclusive breastfeeding failure due to experiencing PKA. Found as many as 59 (83.1%) mothers had PKA with enough milk. There is a significant relationship counseling milk during Antenatal Care (ANC) by PKA that have enough milk, mothers who did not receive counseling when the ANC likely to have 19.7 times PKA, p = 0.012; OR = 19.746 (95% CI 1.926 to 202.456). Breastfeeding counseling during ANC quality do health personnel in preparation for breastfeeding implement a very important thing. Utilization of ?Gathering of speech? in the concept of 10 T in the ANC should be effected to discuss preparation for lactation.;Insufficient perception ASI (PKA) is the mother's thoughts or feelings about the condition of the absence or reduction in milk production. She felt that her breast milk is not enough to satisfy the needs of the baby. PKA was the main reason mothers stop breastfeeding early and a reason to give extra food early on the baby. Prevalence of PKA is not certain, it is estimated between 30-80% of breastfeeding mothers hasPKA. This study aims to prove the factors related to PKA in mothers whom had infants aged 0-6 months in Sewon Health Centre Yogyakarta. Design of this study using cross sectional. The numbers of samples in this study were 71 samples ofmothers with babies? 0-6 months exclusive breastfeeding failure due to experiencingPKA. Found as many as 59 (83.1%) mothers had PKA with enough milk. There is a significant relationship counseling milk during Antenatal Care (ANC) by PKA that have enough milk, mothers who did not receive counseling when the ANC likely to have 19.7 times PKA, p = 0.012; OR = 19.746 (95% CI 1.926 to 202.456). Breastfeeding counseling during ANC quality do health personnel in preparation forbreastfeeding implement a very important thing. Utilization of Gathering of speechin the concept of 10 T in the ANC should be effected to discuss preparation for lactation;Insufficient perception ASI (PKA) is the mother's thoughts or feelings about the condition of the absence or reduction in milk production. She felt that her breast milk is not enough to satisfy the needs of the baby. PKA was the main reason mothers stop breastfeeding early and a reason to give extra food early on the baby. Prevalence of PKA is not certain, it is estimated between 30-80% of breastfeeding mothers hasPKA. This study aims to prove the factors related to PKA in mothers whom had infants aged 0-6 months in Sewon Health Centre Yogyakarta. Design of this study using cross sectional. The numbers of samples in this study were 71 samples ofmothers with babies? 0-6 months exclusive breastfeeding failure due to experiencingPKA. Found as many as 59 (83.1%) mothers had PKA with enough milk. There is a significant relationship counseling milk during Antenatal Care (ANC) by PKA that have enough milk, mothers who did not receive counseling when the ANC likely to have 19.7 times PKA, p = 0.012; OR = 19.746 (95% CI 1.926 to 202.456). Breastfeeding counseling during ANC quality do health personnel in preparation forbreastfeeding implement a very important thing. Utilization of Gathering of speechin the concept of 10 T in the ANC should be effected to discuss preparation for lactation;Insufficient perception ASI (PKA) is the mother's thoughts or feelings about the condition of the absence or reduction in milk production. She felt that her breast milk is not enough to satisfy the needs of the baby. PKA was the main reason mothers stop breastfeeding early and a reason to give extra food early on the baby. Prevalence of PKA is not certain, it is estimated between 30-80% of breastfeeding mothers hasPKA. This study aims to prove the factors related to PKA in mothers whom had infants aged 0-6 months in Sewon Health Centre Yogyakarta. Design of this study using cross sectional. The numbers of samples in this study were 71 samples ofmothers with babies? 0-6 months exclusive breastfeeding failure due to experiencingPKA. Found as many as 59 (83.1%) mothers had PKA with enough milk. There is a significant relationship counseling milk during Antenatal Care (ANC) by PKA that have enough milk, mothers who did not receive counseling when the ANC likely to have 19.7 times PKA, p = 0.012; OR = 19.746 (95% CI 1.926 to 202.456). Breastfeeding counseling during ANC quality do health personnel in preparation forbreastfeeding implement a very important thing. Utilization of Gathering of speechin the concept of 10 T in the ANC should be effected to discuss preparation for lactation;Insufficient perception ASI (PKA) is the mother's thoughts or feelings about the condition of the absence or reduction in milk production. She felt that her breast milk is not enough to satisfy the needs of the baby. PKA was the main reason mothers stop breastfeeding early and a reason to give extra food early on the baby. Prevalence of PKA is not certain, it is estimated between 30-80% of breastfeeding mothers hasPKA. This study aims to prove the factors related to PKA in mothers whom had infants aged 0-6 months in Sewon Health Centre Yogyakarta. Design of this study using cross sectional. The numbers of samples in this study were 71 samples ofmothers with babies? 0-6 months exclusive breastfeeding failure due to experiencingPKA. Found as many as 59 (83.1%) mothers had PKA with enough milk. There is a significant relationship counseling milk during Antenatal Care (ANC) by PKA that have enough milk, mothers who did not receive counseling when the ANC likely to have 19.7 times PKA, p = 0.012; OR = 19.746 (95% CI 1.926 to 202.456). Breastfeeding counseling during ANC quality do health personnel in preparation forbreastfeeding implement a very important thing. Utilization of Gathering of speechin the concept of 10 T in the ANC should be effected to discuss preparation for lactation, Insufficient perception ASI (PKA) is the mother's thoughts or feelings about the condition of the absence or reduction in milk production. She felt that her breast milk is not enough to satisfy the needs of the baby. PKA was the main reason mothers stop breastfeeding early and a reason to give extra food early on the baby. Prevalence of PKA is not certain, it is estimated between 30-80% of breastfeeding mothers hasPKA. This study aims to prove the factors related to PKA in mothers whom had infants aged 0-6 months in Sewon Health Centre Yogyakarta. Design of this study using cross sectional. The numbers of samples in this study were 71 samples ofmothers with babies’ 0-6 months exclusive breastfeeding failure due to experiencingPKA. Found as many as 59 (83.1%) mothers had PKA with enough milk. There is a significant relationship counseling milk during Antenatal Care (ANC) by PKA that have enough milk, mothers who did not receive counseling when the ANC likely to have 19.7 times PKA, p = 0.012; OR = 19.746 (95% CI 1.926 to 202.456). Breastfeeding counseling during ANC quality do health personnel in preparation forbreastfeeding implement a very important thing. Utilization of Gathering of speechin the concept of 10 T in the ANC should be effected to discuss preparation for lactation]

Abstrak :
ABSTRAK
Persentase perempuan yang menikah muda (usia <20 tahun) mengalami peningkatan pada Kecamatan Pancoran Mas, Kota Depok, Jawa Barat sampai sekarang. Penelitian ini bertujuan untuk menentukan determinan perilaku wanita usia 15-24 tahun dalam perspektif Pendewasaan Usia Perkawinan (PUP). Penelitian ini menggunakan desain penelitian case control yang terdiri dari 66 kasus dan 66 kontrol. Kelompok kasus adalah wanita usia 15 ? 19 tahun yang menikah pada usia <20 tahun, sedangkan kelompok kontrol adalah wanita usia 20 ? 24 tahun yang menikah pada usia ≥20 tahun. Penelitian ini menemukan faktor yang berhubungan adalah: pendidikan perempuan (OR = 3.065 95% CI: 1.352 - 6.949); pekerjaan perempuan (OR = 3.615 95% CI: 1,065 - 12268); pekerjaan ayah (OR = 0.163 95% CI: 0,027 - 0978) dan pekerjaan suami (OR = 5,4 95% CI: 0.287 - 16.453). Penelitian ini merekomendasikan untuk memperhitungkan keempat faktor tersebut dalam mengurangi kejadian pernikahan muda di Kota Depok.

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ABSTRACT
The percentage of early marriage women (age <20 years old) is increasing at Pancoran Mas subdistric at Depok City, West Java. This study aims to determine behavioral determinant of women age 15 ? 24 years old in having good perspective of mature age for married. This study used case control study design with involved 66 case and 66 control. Case were women age 15 ? 24 young who married at aged <20 years old when controls were women 15 ? 24 young who married at aged ≥20 years old. This study shows that the determinants of early marriage women were women?s education (OR=3,065 95% CI: 1,352 ? 6,949); women?s occupation (OR=3,615 95% CI: 1,065 ? 12,268); womenn?s father occupation (OR= 0,163 95% CI: 0,027 ? 0,978) and women?s husband occupation (OR=5,4 95% CI: 0,287 ? 16,453). This study recommended to take into accounted all the determinant to reduce the early marriage at Depok City.

Abstrak :
Tesis ini membahas hubungan pemeriksaan kesehatan masa nifas dengan penggunaan metode kontrasepsi jangka panjang dikontrol dengan variabel kovariat yaitu usia, pendidikan, pekerjaan, status ekonomi, daerah tempat tinggal, jumlah anak ideal, pengambilan keputusan dan keterpaparan informasi pada wanita usia subur di Indonesia dengan menganalisis data sekunder SDKI tahun 2017. Penelitian ini adalah penelitian kuantitatif dengan hasil analisa univariat dan bivariat. Hasil penelitian yaitu sebagian besar responden menggunakan KB jenis Non-MKJP yaitu sebesar 78,0%; responden paling banyak melakukan pemeriksaan kesehatan masa nifas pada periode late postpartum; terdapat perbedaan risiko dari variabel usia, keputusan penggunaan KB, status pekerjaan, tingkat pendidikan dan keterpaparan informasi dengan penggunaan jenis KB; tidak terdapat perbedaan risiko dari variabel status ekonomi dan jumlah anak ideal dengan penggunaan jenis KB; pemeriksaan kesehatan masa nifas tidak mempunyai pengaruh terhadap penggunaan jenis KB (nilai-p >0,05). Peningkatan konseling kontrasepsi secara individu sejak awal perlu dilakukan terutama pada masa perencanaan kehamilan hingga masa nifas agar meningkatnya penggunaan MKJP khususnya KB pascasalin sehingga berkurangnya unmetneed dan angka kejadian kehamilan tidak diinginkan. ......The focus of this study is relationship postnatal care with long acting contraceptive methods uses among women in Indonesia controlled with covariate variable that is ages, education, profession, socioeconomic status, residential area, ideal number of children, decision-making and information exposure among women in Indonesia by analyzing secondary data DHS 2017. This research is quantitative with analysis results univariate analysis and bivariate analysis. Research result are most respondents uses Non-LACM wich is equal to 78,0%; respondents do the most postnatal care in late postpartum period; there is a difference in risk from variable ages, decision-making FP uses, profession, information exposure, education and with FP uses; there is no difference in risk from variable socioeconomic status, ideal number of children with FP uses; postnatal care have no effect FP uses (p-value >0,05). Early increase in individual contraceptive counseling necessary especially pregnancy planning period and postpartum period in order to increase the use LACM especially postpartum FP so that decrease unmetneed and unwanted pregnancy.

Abstrak :
Tesis ini membahas faktor risiko kejadian preeklamsia pada ibu hamil di RSUD Pasar Rebo. Preeklamsia merupakan penyebab utama urutan kedua kematian ibu setelah perdarahan di Kota Jakarta Timur, yang proporsinya terus mengalami peningkatan. Penyebab preeklamsia belum diketahui secara pasti. Faktor risiko preeklamsia sebagian besar dapat dicegah jika diketahui lebih awal dan diberikan pencegahan tepat waktu untuk mengurangi angka kejadiannya. Penelitian ini merupakan penelitian kuantitatif dengan pendekatan kasus kontrol dengan jumlah sampel kasus 353 sampel dan kontrol 709 sampel. Populasi sampel yang diambil adalah semua ibu hamil yang mengunjungi Poli Kebidanan RSUD Pasar Rebo. Sumber data pada penelitian ini adalah data primer rekam medis pasien di RSUD Pasar Rebo. Faktor yang diteliti adalah usia, obesitas, primigravida, riwayat hipertensi, riwayat preeklamsia, dan kunjungan ANC. Hasil penelitian menunjukkan terdapat hubungan yang bermakna antara preeklamsia dengan usia (OR=1,42), obesitas (OR=2,55), primigravida (OR=1,95), riwayat hipertensi (OR=7,59), kunjungan ANC (OR=0,53). Sedangkan faktor riwayat preeklamsia tidak ada hubungan bermakna dengan kejadian preeklamsia. Faktor risiko yang paling dominan pada penelitian ini adalah ibu hamil primigravida dan memiliki riwayat hipertensi (OR =4,2) ......This thesis discusses the risk factors for the incidence of preeclampsia in pregnant women at Pasar Rebo District Hospital. Preeclampsia is the second leading cause of maternal death after bleeding in East Jakarta City, the proportion of which continues to increase. The cause of preeclampsia is not known with certainty. The risk factors for preeclampsia can largely be prevented if known early and provided timely prevention to reduce the incidence. This research is a quantitative study with a case control approach with 353 sample cases and 709 sample control. The sample population was all pregnant women visiting the Pasar Rebo Midwifery Polyclinic. The source of data in this study is primary data of medical records of patients at Pasar Rebo District Hospital. Factors studied were age, obesity, primigravida, history of hypertension, history of preeclampsia, and ANC visit. The results showed a significant relationship between preeclampsia and age (OR = 1.42), obesity (OR = 2.55), primigravida (OR = 1.95), history of hypertension (OR = 7.59), ANC visit (OR = 0.53). While the history of preeclampsia has no significant relationship with the incidence of preeclampsia. The most dominant risk factor in this study was primigravida pregnant women and had a history of hypertension (OR = 4,2)

Abstrak :
ABSTRAK Penelitian ini merupakan analisis data sekunder Survei Demografi dan Kesehatan Indonesia 2007. Rancangan penelitian adalah kasus kontrol tidak berpadanan. Jumlah sampel 2500 orang terdiri dari 500 orang ibu yang melahirkan bayi dengan BBLR (kasus) dan 2000 orang ibu yang melahirkan bayi dengan berat badan normal (kontrol). Hasil penelitian menunjukkan bahwa ibu hamil yang menerima kualitas pelayanan antenatal yang buruk kemungkinan berisiko melahirkan BBLR 2,22 kali dibandingkan dengan ibu hamil yang menerima kualitas pelayanan antenatal yang baik setelah dikontrol pendidikan ibu. Variabel lain yang terbukti signifikan berhubungan adalah jenis kelamin, umur ibu, pendidikan ibu, paritas, dan komplikasi kehamilan.

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ABSTRACT This study is depth analysis data of IDHS 2007. The design of this study is nonmatching case-control with, the number of sample was 2500 that consisted of 500 mothers who gave birth with LBW as a case group birth and 2000 mothers who gave birth normal weight. The result of this study showed that mothers who utilized bad (low) quality of ANC had the tendency to have LBW 2.22 times higher compared to mothers who utilized good quality ANC, controllod by education?s mother. Significant variabel with LBW occurence statistically is baby gender, mother?s age, mother?s education, parity, complication during pregnancy.

Abstrak :
RSUD Pemerintahan Kabupaten Sumedang telah terpapar dengan kebijakan PMK dengan nomor 836/MenkesiSICN1/2005 tentang Pedoman Pengembangan Manajemen Kinerja (PMK) Perawat dan Bidan sejak tahun 2006. 1 (satu) orang Perawat sebagai DTOT kabupaten Sumedang serta 7 orang Perawat dan 1 orang Bidan sebagai First Line Manager (FLIVI) di Rumah Sakit mi. Berdasarkan hal tersebut dilakukan peneiitian Evaltzasi Kesiapan Implementasi PlvIK Perawat dan Bidan Di Unit Pelayanan Kesehatan Reproduksi RSUD Pemerintahan Daerah Kabupaten Surnedang Tahun 2010. Penelitian ini menggunakan metode kualitatif dan kuantitatif (kuantifikasi data). Hasil penelitian menunjukan belurn siapnya inaplementasi P/vIK bagi perawat dan bidan di Rumah Sakit ini, karena belum ada SK khusus untuk mengimplementasikan PMK dan belum tersedianya alokasi anggaran khusus mengimplementasikan PMK bagi perawat dan bidan. Dua komponen PMK. yang disuswi berbeda yaitu: Standar Operasional Prosedur (SOP) dalam bentuk Standar Asuhan Keperawatan (SAIC) dan uraian tu.gas perawat clan bidan berdasarkan kedudukan dalam struktur Rumah Sakit. Sementam 3 komponen lain yaitu: indikator kinetja, D.R.K serta monitoring dan evaluasi belum ada. Hasil evaluasi kinelja dari 31 orang perawat dan bidan di unit pclayanan kesehatan reproduksi Rumah Sakit ini, keadilan transparansi dalam penilaian kinerja di institusi tempat keija ditemukan kurang puas sebanyak 23 orang (74,2%). Disarankan pemegang komitmen dan pengambil keputusan untuk memberikan Support Sistem dan kebijakan dalam mengimplementasikan pengembangan manajemen kinelja bagi perawat dan bidan, 5 komponen PMK disusun dan dimplementasikan secara utuh untuk meniugkatkan kinexja perawat dan bidan khususnya dan mcningkatkan mutu pclayanan di Rumah Sakit ini pada umumnya. ......Sumedang District Govemment Hospital has been exposed by policy of Clinical Performance Development Management Systems (CPDMS) with the number of 836/Menlces/SK/VI!2005 about Pedoman Pengembangan Mamjemen Kinerja (PMK) Perawa: dan Bidan and there is a nurse as District Trainee of Trainer (DTOT) of Sumedang and 7 nurses and a midwife as First Line Manager (FLM) in this Hospital since 2006. The research of evaluation of implementation readiness nurses and midwives in Clinical Performance Development Management Systems (CPDMS) in Reproductive Health Care Unit at Sumedang District Government Hospital 2010 based on the statement below. This research use qualitative and quantitative methods. The result shows the Clinical Performance Development Management Systems (CPDMS) policies aren’t ready yet for nurses and midwives in the hospital, because there is no special Decree to implement Clinical Perfomance Development Management Systems (CPDMS) and there is no specific budget allocation for the implementation of CPDMS for nurse and midwife. Two components of CPDMS which were prepared diferentlyz Procedure Operating Standard (POS) in the form of Nursing Care Standards (NCS) and job descriptions of nurses and midwives based on the position in the structure of the Hospital. Meanwhile the three other components, namely: performance indicators, Reflection of Case Discussion and monitoring, and evaluation still pending. The results of evaluating the performance of 31 nurses and midwives in reproductive health services unit. The results of evaluating the performance of 31 nurses and midwives in reproductive health services unit, justice of transparency in the assessment of institutional performance in the workplace found less satisfied as many as 23 people or (74.2). Suggested to holders and decision makers are committed to providing support systems and policies to implement the Perfonnance Management Development for Nurses and Midwives and the five components of CPDMS prepared and fully implemented to improve the performance of nurses and midwives in particular and improve the quality of care in general hospitals.

Abstrak :
Penelitian ini membahas tentang perilaku seksual pranikah pada anak jalanan usia remaja serta faktor yang berhubungan dengannya. Penelitian ini bersifat kuantitatif dengan menggunakan desain cross sectional, jumlah sampel sebanyak 110 orang, dilakukan di wilayah binaan Yayasan Himmata periode Desember 2013. Analisa hubungan dengan menggunakan uji chi square dan regresi logistik model prediksi. Hasil penelitian menunjukkan terdapat 33.6% anak jalanan yang berperilaku seksual pranikah berisiko. Hasil uji statistik bivariat menunjukkan ada hubungan bermakna pada variabel jenis kelamin, umur, pendidikan, tempat tinggal, status pekerjaan, pubertas, dan keterpaparan media pornografi. Hasil uji statistik multivariat menunjukkan bahwa pubertas dan pengetahuan kesehatan reproduksi merupakan variabel yang paling dominan berhubungan dengan perilaku seksual pranikah pada anak jalanan. Hasil analisis didapatkan OR yang paling besar adalah pubertas, OR = 8.6 yang artinya pubertas berpengaruh sebesar 8.6 kali terhadap perilaku seksual pranikah pada anak jalanan. Dari hasil penelitian ini diketahui adanya keterkaitan antara sepuluh variabel dengan perilaku seksual pranikah pada anak jalanan usia remaja.

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This study investigated pre-marital sexual behavior and its associated factors among adolescent street children in Himmata Foundation with period of December 2013. A quantitative research using cross-sectional design was employed in this study. The participants were 110 adolescent street children living in Himmata Foundation. The chi square test and logistic regression prediction model was used for analyzing the data. Data analysis revealed that there were 33.6 % of street children suffered from pre-marital sexual behavior. Factors associated with pre-marital sexual debut were assessed using bivariate and multivariate statistical test. The results of bivariate statistical test showed significant correlation between gender, age, educational background, place of residence, employment status, puberty, and media exposure to pornography exposure among children. The results of multivariate statistical tests described that the onset of puberty and reproductive health knowledge were the most dominant variable associated with pre-marital sexual behavior among the children. The largest OR of data analysis was puberty 8.6 which means the puberty was affected by 8.6 times against pre-marital sexual behavior among the respondents. From this research we know the relation between the ten variables with premarital sexual behavior of adolescence street children.

Abstrak :
Komplikasi selama kehamilan dan persalinan adalah penyebab kedua kematian untuk remaja perempuan usia 15-19 tahun secara global. Di Puskesmas Kecamatan Jatinegara, terjadi peningkatan kehamilan usia remaja dalam tiga tahun terakhir. Penelitian ini bertujuan untuk mengetahui gambaran kehamilan usia remaja dan faktor-faktor-faktor yang berhubungan dengan kehamilan usia remaja di wilayah kerja Puskesmas Kecamatan Jatinegara tahun 2017. Dilaksanakan pada bulan Mei-Juni 2017 menggunakan design potong lintang. Populasi adalah seluruh remaja perempuan usia 15-19 tahun yang sudah menikah dari bulan Juni 2016-Mei 2017, jumlah sampel 96 orang yang diambil secara simple random sampling. Data dikumpulkan melalui wawancara terstruktur dengan pedoman kuesioner, analisis bivariat dengan uji Kai kuadrat. Hasil penelitian diperoleh 77,1 responden hamil di usia remaja. Faktor predisposisi yang berhubungan signifikan adalah penghasilan keluarga nilai p=0,022 ; pengetahuan tentang kehamilan usia remaja nilai p = 0,036 ; sikap terhadap KB nilai p=0,044. Faktor penguat yang berhubungan signifikan adalah dukungan keluarga nilai p=0,047 ; peran tenaga kesehatan nilai p=0,040. Faktor pemungkin yang berhubungan signifikan adalah riwayat perilaku seksual nilai p=0,033 ; riwayat penggunaan KB nilai p=0,019. Saran untuk Puskesmas Kecamatan Jatinegara untuk meningkatkan sosialisasi Program Generasi Berencana, pembentukan Poktan Bina Keluarga remaja dan peningkatan kinerja Program Pelayanan Kesehatan Peduli Remaja. ...... Complications during pregnancy and childbirth are the second leading cause of death for girls aged 15 19 yeras globally. At Jatinegara Public Health Center, there was an increase in teenage pregnancy in the last three years. This study aims to determine the proportion of teenage pregnancy and factors related to teenage pregnancy in area of Jatinegara Public Health Center, 2017. Implemented in May June 2017 using croos sectional design. The population is all teenage girls aged 15 19 who are married from june 2016 to May 2017, the sample number of 96 people taken by simple random sampling. Data were collected through structuted interview with questionnare, bivariate analysis with Kai square test. The result obtained 77,1 teenage pregnancy. Related predisposing factors were family income p value 0.022 knowledge of teenage pregnancy p value 0.036 attitude towards family planning p value 0.044. Related reinforcing factors were family support p value 0.047 the role of health personnel p value 0.040. Related enabling factors were history of sexual behavior p value 0.033 history of contraceptive use p value 0.019. Suggestion for Jatinegara public health center to improve the socialization of the planned generation program, the establishment of teenage family development and enhancement of the youth service care program.