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Hilwa Taqiyyah Hanan
Hubungan kepatuhan konsumsi tablet tambah darah pada ibu hamil dengan kejadian berat badan lahir rendah (BBLR) di Indonesia analisis data SDKI 2012 = Association between consumption of iron supplement on pregnant women and low birth weight in Indonesia data analysis SDKI 2012
"Angka Kematian Neonatal AKN merupakan salah satu indikator dalam menentukan derajat kesehatan ibu dan anak. Data WHO menunjukkan AKN Indonesia sebesar 13,7 dan SDKI 2012 menyatakan sebesar 19, yang mana memilki kontribusi terhadap 59 kematian bayi. AKB di tahun yan sama sebesar 32. Kondisi selama kehamilan menjadi faktor penyebab umum kematian neonatal, sehingga program pelayanan kesehatan ibu hamil menjadi penting dalam menurunkan AKN, seperti pemberian tablet besi dan suntik anti tetanus. AKN disebabkan oleh beberapa hal, satu diantaranya adalah BBLR. Penelitian ini bertujuan untuk mengetahui apakah terdapat asosiasi antara konsumsi tablet tambah darah dengan kejadian BBLR dan pada konsumsi keberapa akan berpengaruh terhadap penurunan risiko BBLR. Didapatkan dari analisis chi square bahwa konsumsi tablet tambah darah sesuai dengan anjuran pemerintah yaitu minimal 90, tidak menunjukan adanya hubungan, dengan p value= 0,415 dan nilai OR 1,072 95 CI 0,8441,366 . Pun setelelah dikontrol dengan variabel usia ibu melahirkan, status sosial dan ekonomi, pendidikan ibu, paritas dan kehamilan ganda, tetap menunjukkan asosiasi negatif. Peneliti mencoba mengubah cut off menjadi 150, maka didapatkan konsumsi >150 asosiasi menunjukan positif p value= 0,032 dan OR 1,372 95 CI 1,027-1,833 . Setelah dilakukan analisis dengan memasukkan variabel kontrol, asosiasi yang ditunjukkan menjadi negatif dan nilai OR menunjukan bahwa konsumsi tablet >150 memiliki 0,8 odds lebih kecil untuk terkena BBLR. Sehingga perlu ibu hamil perlu mengonsumsi secara rutin tablet tambah darah yang diberikan oleh petugas kesehatan setempat setidaknya selama 5 bulan lebih dalam rangka menurunkan risiko terjadinya BBLR.
Neonatal mortality rate NMR is one of inidicators that determine the maternal and child health. WHO shows that NMR in Indonesia is 13,7 and SDKI 2012 states 19, which has contribution to 59 infant mortality. Infant Mortaliry Rates is 32 at the same year. Bad conditions while mother was pregnant are common cause of neonatal mortality, so maternal health care programs are important to reduce NMR, such as iron tablets and anti tetanus injection. NMR is caused by several things, on of them is Low Birth Weight LBW. This research aims to know the association between iron tablets and the newborns with LBW and which consumption the risk of newborns with low weight will be decrease. After analysed with chi square consumption that government recommendation at least 90 doesnt show any relationship with p value 0,415 and OR 1,072 95 CI 0,8441,366. Even after controlled by maternal ages, wealth index, maternal education, parity, and multiple pregnancy. Researchers tried to convert the cut off to 150, and the result shows positive p value 0,032 and OR 1,327 95 CI 1,027 1,833 . After controls variables in, the association became negative with OR shows that consumption 150 has 0,8 odds smaller to LBW. So, pregnant women should consume the iron tablets routinely at least 5 months, better more, to reduce the risk of LBW."
Depok: Fakultas Kesehatan Masyarakat Universitas Indonesia, 2018
S-Pdf
UI - Skripsi Membership  Universitas Indonesia Library
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Netismar
Pelaksanaan intervensi MASBRO sebagai upaya pencegahan risiko penyalahgunaan Napza pada remaja di SMK Kecamatan Cimanggis Kota Depok = Implementation of MASBRO intervention to prevent the risk of drug/cigarett abuse in adolescent at SMK Cimanggis, Depok.
"ABSTRAK Penyalahgunaan NAPZA/rokok pada remaja di SMK
Kecamatan Cimanggis Depok Risiko penyalahgunaan NAPZA/rokok pada remaja terus meningkat, hal ini dapat memberikan dampak negatif pada remaja baik pada fisik, psikologis, ekonomi dan social
remaja. Kondisi ini membutuhkan intervensi yang dapat mencegah risiko penyalahgunaan NAPZA/rokok pada remaja. Karya Ilmiah ini bertujuan umtuk memberikan gambaran dan pengaruh pelaksanaan intervensi MASBRO (Mari Ayo Sadari Bahaya Rokok) dan sebagai
bentuk intervensi keperawatan komunitas pada remaja. Pelaksanaan intervensi MASBRO dilakukan di komunitas khususnya seting sekolah dan keluarag selama 6 bulan. Hasil
intervensi MASBRO menunjukkan adanya peningkatan rata-rata pengatahuan, sikap, dan keterampilan terhadap pencegahan risiko penyalahgunaan NAPZA/rokok sebelum dan
sesudah intervensi (p value= 0.000). Intervensi dapat dipalikasikan sebagai salah satu upaya
pencegahan risiko penyalahgunaan NAPZA/rokok pada remaja di sekolah.
ABSTRACT
The risk of drug / smoking abuse in adolescents was increasing, this condition may cause
negative impact on physical, psychological, economic and social of adolescents. This
condition requires interventions that can prevent the risk of drug / cigarette abuse in
adolescents. This Final paper aims to provide an overview and influence of the
implementation of the intervention of MASBRO (Let's Realize the Dangers of Cigarettes)
and as a form of community nursing intervention in adolescents. The implementation of the
MASBRO intervention was carried out in the community, especially the school settings and
family planning for 6 months. The results of the MASBRO intervention showed an increase
in the average knowledge, attitudes, and skills to prevent the risk of drugs / cigarettes abuse
before and after the intervention (p value = 0.000). MASBRO implementation efectively
increase of knowledge, attitudes, and skills to prevent the risk of drug/cigarette abuse. This
Interventions should be sustainable in order to prevent the risk of drug abuse / cigarettes for
teenagers in the school."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2019
SP-PDF
UI - Tugas Akhir  Universitas Indonesia Library
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Khansa Azmi Nur Johim
Prototipe Aplikasi Prediksi Komplikasi Maternal di Rumah Sakit Mitra Bangsa Pati = Prototype of Application to Predict the Maternal Complication In Rumah Sakit Mitra Bangsa Pati
"Angka kematian ibu adalah tantangan kesehatan masyarakat di dunia, negara-negara berkembang menyumbang 99% kematian ibu secara global. Diperkirakan 15% sampai 20% ibu hamil dari seluruh ibu hamil yang ada akan mengalami keadaan risiko tinggi dan mengalami komplikasi maternal. Asuhan kebidanan komprehensif berbasis bukti yang diberikan oleh bidan maupun dokter spesialis kandungan diharapkan dapat memprediksi komplikasi maternal untuk mencegah kematian ibu. Sistem prediksi komplikasi maternal melalui penilaian usia kehamilan, tanda-tanda vital, tinggi fundus uteri, denyut jantung janin, presentasi, kontraksi, plasenta, robekan, perdarahan, luka perineum, hemoglobin dan proteinurin dengan menggunakan pencatatan dan pelaporan manual membutuhkan waktu untuk mengambil keputusan. Tujuan penelitian ini adalah membangun prototipe aplikasi untuk prediksi komplikasi maternal di Rumah Sakit Mitra Bangsa Pati dalam rangka memprediksi komplikasi maternal, dan merancang basis data maternal dan membuat laporan secara elektronik. Rancangan pengembangan sistem menggunakan pendekatan prototyping. Metode prediksi aplikasi komplikasi maternal berbasis machine learning menggunakan algoritma Naïve Bayes Classifier (NBC). Aplikasi dapat memberikan hasil prediksi komplikasi maternal secara realtime (<3 detik), berupa perdarahan, preeklampsia, infeksi mana nifas, hiperemesis gravidarum, retensio plasenta dan robekan jalan lahir. Pengumpulan data dari buku register, buku KIA dan rekam medis. Dari hasil uji dengan 7-fold cross validation diperoleh nilai akurasi, presisi dan recall adalah 89.2%, 88.8%, dan 89.3% dengan jumlah data latih 2448 data dan data uji 272 data. Pemanfaatan data hasil prediksi yaitu sebagai dasar untuk pengambilan keputusan.
Maternal mortality is a challenge for public health field in the world and developing countries account for 99% of maternal deaths globally. It is estimated that 15% to 20% of all pregnant women will experience a high risk state and obstetric complication. The evidence-based midwifery comprehensive guideline provided by the midwife is expected to detect early risk factors for pregnancy, labor, and postpartum women before complication occurs. Maternal complications prediction system through assessment of gestational age, vital signs, high fundal uterine, fetal heart rate, presentation, contractions, placenta, tears, bleeding, perineal wounds, hemoglobin and proteinurin using manual recording and reporting takes time to make decisions. The purpose of this study was to build a prototype application for predicting maternal complications at Rumah Sakit Mitra Bangsa Pati in order to predict maternal complications, and design a maternal database and make reports electronically. The system development design uses a prototyping approach. The prediction method for the application of machine learning maternal complications uses the Naïve Bayes Classifier (NBC) algorithm. Applications can provide predictive results for maternal complications in real time (<3 seconds), such as bleeding, preeclampsia, infections where parturition, hyperemesis gravidarum, retention of the placenta and tear of the birth canal. Collecting data from register books, KIA books and medical records. From the results of the test with 5-fold cross validation, the accuracy, precision and recall value were 89.2%, 88.8%, dan 89.3% with 2,448 training data and 272 testing data. The use of prediction data is a basis for decision making."
2019
T52948
UI - Tesis Membership  Universitas Indonesia Library
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Shinta Normala Sari
Dukungan sosial kepada ibu bayi dalam pemberian asi eksklusif di wilayah kerja Puskesmas Pancoran Mas Kota Depok tahun 2014 = Social support to mothers in exclusive breastfeeding in area of Puskesmas Pancoran Mas Depok City in 2014
"Kematian bayi akibat infeksi dapat dicegah salah satunya dengan praktik pemberian ASI eksklusif. Sampai saat ini belum banyak ibu bayi yang melakukan praktik ini termasuk di Kota Depok. Salah satu penyebab rendahnya praktik itu disebabkan kurangnya dukungan sosial kepada ibu bayi. Tujuan penelitian ini untuk menilai dukungan sosial praktik ibu bayi dalam pemberian ASI eksklusif di wilayah kerja Puskesmas Pancoran Mas.
Desain penelitian dilakukan dengan studi kasus dengan wawancara mendalam kepada 37 informan (ibu bayi usia 6-12 bulan, suami, orang tua, kader kesehatan, dan tenaga kesehatan). Data dikumpulkan pada bulan Maret hingga Juli 2014 dan dilakukan analisis dengan matriks data kualitatif, serta analisis isi.
Hasil menunjukkan bahwa ibu bayi yang memberikan ASI eksklusif cenderung lebih banyak menerima dukungan sosial dari sumber informal (suami,orang tua, dan teman) maupun formal (tenaga kesehatan dan kader kesehatan) dibandingkan dengan ibu yang tidak memberikan ASI eksklusif. Kepada Dinas Kesehatan dan Puskesmas disarankan lebih meningkatkan program promosi ASI eksklusif dengan melibatkan suami, orangtua dan teman ibu yang mempraktikkan ASI eksklusif.
Infant mortality due to infection can be prevented by exclusive breastfeeding practice. Unfortunately, in Depok City not many mothers of infants do this practice. One of the reasons why mothers of infants do not do this practice is due to insufficient social support from others. The objective of this study was to assess the social support for mothers of infants in practicing exclusive breastfeeding in the above Puskesmas area.
A qualitative method using a case study design was employed. An in-depth interview was conducted to 37 informants (mothers of 6-12 months infants, husbands, parents, health cadres, and health workers) and data was collected from July- August 2014. Data analysis was performed using qualitative data matrix and content analysis.
The results of the study showed that mothers who did exclusive breastfeeding were likely receiving more social support from informal (husbands, parents, and friends) and formal sources (health workers and cadres) than those mothers who did not practice exclusive breastfeeding. It is recommended to both Depok City Health Office and Puskesmas Pancoran Mas to strengthen their exclusive breastfeeding promotion programs by involving husbands, parents, friends of mothers of infants."
Depok: Fakultas Kesehatan Masyarakat Universitas Indonesia, 2014
T41977
UI - Tesis Membership  Universitas Indonesia Library
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Koernia Nanda Pratama
Gerakan remaja anti rokok sebagai strategi intervensi keperawatan komunitas mencegah risiko penyalahgunaan NAPZA (rokok) pada remaja di SMP Negeri 11 Sukatani, Depok = Youth movement refused smoking as a community nursing intervention strategy to prevent the risk of drug abuse smoking in adolescent in Junior High School 11 Tapos Depok
"[ABSTRAK
Karakteristik perkembangan remaja adalah selalu mencoba sesuatu hal yang baru bersama kelompoknya dan mudah dipengaruhi oleh hal-hal yang negatif, salah satunya adalah perilaku merokok. Perawat spesialis komunitas memiliki peran melakukan upaya pencegahan masalah tersebut. Gerakan Remaja Anti Rokok (GERAK) merupakan salah satu strategi intervensi keperawatan komunitas untuk mencegah terjadinya masalah tersebut. Penulisan karya ilmiah ini bertujuan memberikan gambaran pelaksanaan GERAK dalam asuhan keperawatan komunitas, melalui integrasi Teori Manajemen, HBM, TTM, HPM dan CSHM pada remaja di SMPN S Kota Depok. Metode yang digunakan adalah dengan menghitung sampel kemudian pengambilan data dengan kuisioner dan kemudian di analisis. Hasil intervensi menunjukan peningkatan signifikan p-value (0,000), peningkatan pengetahuan siswa (0,02%), sikap (0,01%) dan tindakan (0,11%). Strategi intervensi GERAK dapat diaplikasikan untuk melakukan upaya pencegahan risiko penyalahgunaan perilaku merokok pada remaja di sekolah.
ABSTRACT
The Characteristics of adolescent development is always trying new things with his group and easily influenced by negative things, one of which is smoking behavior. Specialist community nurses have a role to do prevention efforts such problems. Youth movement refused smoking (GERAK) is one of a community nursing intervention strategy to prevent the occurrence of such problems. The aim of this paper was to provide the description of implementation of (GERAK) in community nursing care, through the integration of Theory of Management, HBM, TTM, HPM, and CSHM, on teenagers in Junior High School S Depok City. The method used was to calculate the sample then taking of data by questionnaire and then analyzed. The result of intervention showed a significant improvement (p-value = 0,000), increased of the students knowledge (0,02%), attitudes (0,01%) and the action (0,11%). GERAK intervention strategies can be applied as a prevention of abuse smoking behavior in adolescents at schools.;The Characteristics of adolescent development is always trying new things with his group and easily influenced by negative things, one of which is smoking behavior. Specialist community nurses have a role to do prevention efforts such problems. Youth movement refused smoking (GERAK) is one of a community nursing intervention strategy to prevent the occurrence of such problems. The aim of this paper was to provide the description of implementation of (GERAK) in community nursing care, through the integration of Theory of Management, HBM, TTM, HPM, and CSHM, on teenagers in Junior High School S Depok City. The method used was to calculate the sample then taking of data by questionnaire and then analyzed. The result of intervention showed a significant improvement (p-value = 0,000), increased of the students knowledge (0,02%), attitudes (0,01%) and the action (0,11%). GERAK intervention strategies can be applied as a prevention of abuse smoking behavior in adolescents at schools., The Characteristics of adolescent development is always trying new things with his group and easily influenced by negative things, one of which is smoking behavior. Specialist community nurses have a role to do prevention efforts such problems. Youth movement refused smoking (GERAK) is one of a community nursing intervention strategy to prevent the occurrence of such problems. The aim of this paper was to provide the description of implementation of (GERAK) in community nursing care, through the integration of Theory of Management, HBM, TTM, HPM, and CSHM, on teenagers in Junior High School S Depok City. The method used was to calculate the sample then taking of data by questionnaire and then analyzed. The result of intervention showed a significant improvement (p-value = 0,000), increased of the students knowledge (0,02%), attitudes (0,01%) and the action (0,11%). GERAK intervention strategies can be applied as a prevention of abuse smoking behavior in adolescents at schools.]"
Fakultas Ilmu Keperawatan Universitas Indonesia, 2015
SP-PDF
UI - Tugas Akhir  Universitas Indonesia Library
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Eva Nurlina Aprilia
Penerapan ABC integrasi dalam meningkatkan kesehatan reproduksi melalui pengembangan kualitas diri remaja di SMP IT Arafah, Kelurahan Sukamaju Baru, Kecamatan Tapos, Kota Depok = Application of ABC integration to enhance reproductive health through the development of adolescent self quality in Arafah Junior High School Sukamaju Baru, Tapos, Depok
"[ABSTRAK
Prevalensi masalah kesehatan reproduksi remaja meningkat seiring dengan kondisi pergaulan dan gaya hidup remaja yang semakin bebas sehingga diperlukan pencegahan berupa pengembangan kualitas diri remaja untuk mencegah masalah kesehatan reproduksi. Penulisan bertujuan memberikan gambaran pelaksanaan ABC Integrasi dalam pelayanan dan asuhan keperawatan komunitas melalui integrasi teori CSHM, FCN dan Manajemen pada remaja dengan risiko masalah kesehatan reproduksi. Hasil Kualitas diri remaja pada keterampilan spiritual yang baik 24,19% dan kualitas diri yang cukup 75,81%. Kualitas diri remaja pada keterampilan emosional yang baik 1,61% dan kualitas diri cukup 98,39%. Kualitas diri remaja pada keterampilan sosial yang baik 26,61% dan kualitas diri yang cukup 73,39%. Kualitas diri remaja pada keterampilan mental berada pada kualitas diri yang cukup yaitu 100% dan kualitas diri pada keterampilan fisik yang baik 13,7% dan kualitas diri yang cukup 86,29%.ABSTRACT The prevalence of adolescent reproductive health problem increase with social condition and lifestyle of adolescent who increasing free so that the necessary prevention is the development of quality adolescent reproductive health in order to prevent problem. This scientific paper aim to provide the Integration ABC implementation in service and nursing care through the integration of theory CSHM, FCN and Management in adolescents with risk of reproductive health problem. The quality of the result adolescent spiritual good skill and quality 24.19% and 75.81% self-sufficient. Quality of adolescent on emotional skill both 1.61% and 98.39% self sufficient quality. Quality of adolescent on good social skill and quality 26.61% and 73.39% self-sufficient. Quality of adolescent in mental skill that are in themselves sufficient quality that is 100% and the quality of self in good physical skill and 13.7% self-sufficient quality 86.29%. ;The prevalence of adolescent reproductive health problem increase with social condition and lifestyle of adolescent who increasing free so that the necessary prevention is the development of quality adolescent reproductive health in order to prevent problem. This scientific paper aim to provide the Integration ABC implementation in service and nursing care through the integration of theory CSHM, FCN and Management in adolescents with risk of reproductive health problem. The quality of the result adolescent spiritual good skill and quality 24.19% and 75.81% self-sufficient. Quality of adolescent on emotional skill both 1.61% and 98.39% self sufficient quality. Quality of adolescent on good social skill and quality 26.61% and 73.39% self-sufficient. Quality of adolescent in mental skill that are in themselves sufficient quality that is 100% and the quality of self in good physical skill and 13.7% self-sufficient quality 86.29%. ;The prevalence of adolescent reproductive health problem increase with social condition and lifestyle of adolescent who increasing free so that the necessary prevention is the development of quality adolescent reproductive health in order to prevent problem. This scientific paper aim to provide the Integration ABC implementation in service and nursing care through the integration of theory CSHM, FCN and Management in adolescents with risk of reproductive health problem. The quality of the result adolescent spiritual good skill and quality 24.19% and 75.81% self-sufficient. Quality of adolescent on emotional skill both 1.61% and 98.39% self sufficient quality. Quality of adolescent on good social skill and quality 26.61% and 73.39% self-sufficient. Quality of adolescent in mental skill that are in themselves sufficient quality that is 100% and the quality of self in good physical skill and 13.7% self-sufficient quality 86.29%. ;The prevalence of adolescent reproductive health problem increase with social condition and lifestyle of adolescent who increasing free so that the necessary prevention is the development of quality adolescent reproductive health in order to prevent problem. This scientific paper aim to provide the Integration ABC implementation in service and nursing care through the integration of theory CSHM, FCN and Management in adolescents with risk of reproductive health problem. The quality of the result adolescent spiritual good skill and quality 24.19% and 75.81% self-sufficient. Quality of adolescent on emotional skill both 1.61% and 98.39% self sufficient quality. Quality of adolescent on good social skill and quality 26.61% and 73.39% self-sufficient. Quality of adolescent in mental skill that are in themselves sufficient quality that is 100% and the quality of self in good physical skill and 13.7% self-sufficient quality 86.29%. , The prevalence of adolescent reproductive health problem increase with social condition and lifestyle of adolescent who increasing free so that the necessary prevention is the development of quality adolescent reproductive health in order to prevent problem. This scientific paper aim to provide the Integration ABC implementation in service and nursing care through the integration of theory CSHM, FCN and Management in adolescents with risk of reproductive health problem. The quality of the result adolescent spiritual good skill and quality 24.19% and 75.81% self-sufficient. Quality of adolescent on emotional skill both 1.61% and 98.39% self sufficient quality. Quality of adolescent on good social skill and quality 26.61% and 73.39% self-sufficient. Quality of adolescent in mental skill that are in themselves sufficient quality that is 100% and the quality of self in good physical skill and 13.7% self-sufficient quality 86.29%. ]"
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2015
SP-PDF
UI - Tugas Akhir  Universitas Indonesia Library
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Dyan Handayani
Analisis implementasi program pelayanan obstetri dan neonatal emergensi dasar (Poned) di puskesmas mampu (PONED) Kota Depok tahun 2017 = Analysis of the implementation of basic emergency obstetric and newborn care beonc in Depok City 2017 / Dyan Handayani
"ABSTRAK
Pemanfaatan fasilitas kesehatan untuk pertolongan persalinan melalui Puskesmas MampuPONED masih rendah dan menyebabkan keterlambatan penanganan kegawatdaruratanyang berdampak pada peningkatan AKI dan AKB. Kota Depok memiliki 7 PuskesmasMampu PONED namun cakupan persalinan di PONED hanya 3,9 dari jumlah persalinanoleh tenaga kesehatan pada tahun 2016 dan berdasarkan Renstra Dinas Kesehatan KotaDepok tahun 2016 -2021 akan menambah 4 Puskesmas Mampu PONED. Penelitian inibertujuan untuk melihat sejauh mana langkah-langkah program PONED sudahdilaksanakan serta diketahuinya apa yang menjadi hambatan dalam implementasi program.Penelitian kualitatif dilakukan pada 7 Puskesmas mampu PONED Kota Depok bulanDesember 2017 sampai Januari 2018. Informan berjumlah 38 orang terdiri dari pemangkukebijakan di level Dinas Kesehatan, Kepala Puskesmas PONED, bidan koordinatorPONED serta bidan pelaksana PONED. Untuk mendapatkan hasil yang valid, penelitimelakukan triangulasi data dengan teknik WM FGD dan telaah dokumen yang berkaitanimplementasi PONED. Hasil penelitian berdasarkan unsur input sudah berjalan namunbelum optimal, sumber daya manusia belum dipersiapkan dengan baik kuantitas maupunkualitasnya, belum tersedianya SOP diseluruh Puskesmas PONED. Unsur proses belumoptimal, komunikasi belum efektif tentang tujuan kebijakan dari penentu kebijakan kepadapelaksana, pada aspek disposisi belum semua pemangku kebijakan memberikan sikap yangpositif terhadap implementasi PONED, aspek birokrasi belum semua PONED memilikistruktur organisasi dan aspek lingkungan sosial belum berperannya lintas program danlintas sektor dalam mendukung kegiatan. Unsur output belum optimal, belum dilakukanpengolahan dan analisa data hasil pelayanan dan belum adanya kegiatan monitoring danevaluasi secara simultan. Kesimpulan didapatkan 2 Puskesmas mampu PONED sudahdengan memenuhi 9 dari 10 indikator yang ditetapkan dalam analisis implementasiPONED, sedangkan 5 Puskesmas mampu PONED lainnya belum optimal. Rekomendasiperlu adanya alokasi dana untuk peningkatan kuantitas dan kualitas SDM, refreshingprogram PONED kepada pelaksana dan lintas sektor, meningkatkan pengetahuan danpemahaman pelaksana kebijakan tentang implementasi PONED melalui kegiatanmonitoring dan evaluasi secara berkala agar menguatkan disposisi.Kata kunci: analisis implementasi, Pelayanan Obstetri Neonatal Emergensi Dasar,input,proses, output
ABSTRACT
Emergency services in neonatal obstetrics is one of the strategies to reduce Utilization ofhealth facilities for delivery assistance through BEONC is still low and causes delays inemergency handling which impact on the increase of MMR and IMR. Depok City has 7BEONC but the delivery coverage in BEONC is only 3.9 of total deliveries by healthpersonnel in 2016 and based on Renstra Depok Health Department year 2016 2021 willadd 4 BEONC. This study aims to examine the extent to which the measures of theBEONC program have been carried out as well as knowing what are the obstacles in theimplementation of the program. Qualitative research was carried out at 7 BEONC DepokCity in December 2017 until January 2018. The informants were 38 persons consisted ofpolicy makers at Health Service level, Head of BEONC, coordinator of BEONC and healthofficer. To obtain valid results, researchers conducted data triangulation with WM FGDtechniques and document review related to the implementation of BEONC.The result based on input has been implemented but not optimal, human resource does notprepared with good quality and quantity, unavailability of SOP on all EmONC. Theelements of the process are not optimal, communication has not been effective about thepolicy objectives of the policy makers, the disposition aspects have not all the stakeholderswho provide a positive to the implementation of EmONC, on the bureaucracy aspect not allof EmONC have the organizational structure. On social environment aspects cross programand cross sector has not support in the implemention of EmONC. The output element hasnot been optimal, no data processing and analysis of data and there is no monitoring ofactivities and reports simultaneously. Found 2 of EmONC already meet 9 of 10 indicatorsused in the implementation of EmONC, while 5 of EmONC not optimal. Recommendationsfor funding for increased quantity and quality of human resources, refreshing EmONCprograms for implementers and across sectors, increasing knowledge and understanding ofEmONC implementation through monitoring of activities and evaluations to add sharpdispositions.Key words analysisi of the implementation, Basic Emergency Obstetric Neonatal care,input, process, output"
2018
T50921
UI - Tesis Membership  Universitas Indonesia Library
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Anita Juniarti
Perbedaan kepuasan ibu hamil dalam pemeriksaan kehamilan antara bidan delima dan bidan non delima di Kota Depok tahun 2018 = Differences in pregnant women s satisfaction in antenatal care anc between delima midwives and non delima midwives in Depok City year 2018
"Kepuasan ibu hamil merupakan suatu komponen yang penting dalam antenatal care ANC. Tingkat kepuasan ibu hamil sangat tergantung pada mutu pelayanan yang diberikan oleh bidan yang profesional pada ibu hamil. Penelitian ini bertujuan untuk mengetahui perbedaan kepuasan ibu hamil dalam melakukan pemeriksaan kehamilan pada Bidan Delima dan Bidan Non Delima. Desain penelitian yang digunakan adalah cross sectional. Pengumpulan data yang digunakan melalui wawancara dengan kuesioner pada 168 ibu hamil : 90 ibu hamil di pelayanan Bidan Delima dan 78 ibu hamil di pelayanan Bidan Non Delima. Data dianalisis menggunakan regresi logistik. Tingkat kepuasan ibu hamil yang memeriksakan kehamilan Bidan Delima 64,4 lebih baik bila dibandingkan dengan Non Delima 33,3. Kepuasan ibu hamil berbeda menurut masa kerja bidan, jarak tempuh ibu ke Bidan Praktek Mandiri BPM dan umur ibu hamil.
Setelah dikontrol dengan pendidikan bidan, pelatihan ANC, biaya, umur bidan, pendidikan ibu, paritas dan kerja sama dengan BPJS pada bidan dengan masa kerja ge; 15 tahun, ibu hamil yang memeriksakan kehamilan pada Bidan Delima berpeluang 11,1 kali lebih puas dibandingkan dengan Bidan Non Delima. Pada ibu hamil dengan jarak tempuh ke BPM dekat yang memeriksakan kehamilan pada Bidan Delima berpeluang 5,3 kali lebih puas dibandingkan dengan Bidan Non Delima.Pada umur ibu hamil < 27 tahun yang memeriksakan kehamilan dengan Bidan Delima berpeluang 3,8 kali lebih puas dibandingkan dengan Non Delima. Direkomendasikan pada bidan delima untuk meningkatkan aspek pada dimensi daya tanggap, sedangkan pada non delima meningkatkan aspek pada dimensi empati dan bukti fisik.
Pregnant women satisfaction was often seen as an important component of antenatal care ANC .The Level of satisfaction pregnant women depended on the quality of services provided by professional in pregnant women. This study aims to determine differences women satisfaction in ANC between DelimaMidwives and Non DelimaMidwives. This design study used cross sectional. This data collection was done spread of questionnaire to 168 pregnant women 90 DelimaMidwives and 72 Non DelimaMidwives. Data was anyzed by using lofistic regeression. Women satisfcation ANC with Delima Midwives 64,4 was greater than Non DelimaMidwives 33,3. Midwives status relationship with different satisfaction according to old working, mother distance to midwive rsquo s place and age of pregnant mother.
After controlled by midwife education, ANC training, cost, Midwives age, mother education, parity and cooperation with BPJS. Midwives with old working ge 15 years, pregnant women who ANC with Delima Midwives 11,1 times greater than satisfaction compared with Non DelimaMidwives. In pregnant women with the distance to the near Midwives place who checked the pregnancy on the midwife 5.3 times greater than satisfied compared with non Delima. Pregnant women in "
Depok: Fakultas Kesehatan Masyarakat Universitas Indonesia, 2018
T51159
UI - Tesis Membership  Universitas Indonesia Library
cover
Aisyah Apriliciciliana Aryani
Determinan kejadian bayi berat lahir rendah (BBLR) di Kota Metro Provinsi Lampung tahun 2017 = Determinant of low BIRTH weight infant in Metro City of Lampung Province in 2017 / Aisyah Apriliciciliana Aryani
"ABSTRAK
Bayi Berat Lahir Rendah BBLR merupakan faktor utama dalam peningkatan mortalitas neonatus, bayi, dan anak. Berdasarkan data dari Dinas Kesehatan Kota Metro Tahun 2016, BBLR merupakan penyebab nomor satu kematian bayi di Kota Metro. Selain itu, terjadi peningkatan prevalensi kejadian BBLR di Kota Metro selama tahun 2014 sampai dengan tahun 2016. BBLR disebabkan oleh beberapa faktor seperti factor sosial demografi, maternal, dan lingkungan. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang mempengaruhi kejadian BBLR serta menguji faktor mana yang paling dominan mempengaruhi kejadian BBLR di Kota Metro. Desain penelitian ini adalah kasus-kontrol dimana data diperoleh melalui wawancara dengan kuesioner. Jumlah responden adalah 102 yang terdiri dari 51 kasus dan 51 kontrol. Data dianalisis dengan regresi logistik ganda. Hasil penelitian menunjukkan bahwa faktor-faktor yang berhubungan dengan kejadian BBLR di Kota Metro adalah pertambahan berat badan selama kehamilan, pekerjaan, tingkat pengetahuan, status ekonomi, paparan asap rokok, pantangan makan, dan akses ke pelayanan kesehatan. Faktor yang paling berhubungan dengan kejadian BBLR di Kota Metro adalah pertambahan berat badan selama kehamilan yang berbeda menurut tingkat pengetahuan. Setelah dikontrol usia, aktivitas fisik, jarak kelahiran, dan riwayat melahirkan BBLR, ibu dengan pertambahan berat badan < 10 kilogram dibanding ibu dengan pertambahan berat badan ge; 10 kilogram, dengan tingkat pengetahuan kurang memiliki risiko 11 kali lebih besar untuk melahirkan bayi BBLR. Pada ibu dengan tingkat pengetahuan baik memiliki risiko 1,5 kali lebih besar untuk melahirkan bayi BBLR.
ABSTRACT
Low Birth Weight LBW is a major factor in the increased mortality of neonates, infants, and children. Based on data from the Metro City Health Office 2016, LBW is the number one cause of infant mortality in Metro City. In addition, there is an increasing prevalence of LBW occurrence in Metro City during 2014 until 2016. LBW is caused by several factors such as demography, maternal, and environmental factors. This study aims to determine the factors that affect the occurrence of BBLR and determine which factors are the most dominant influence the occurrence of LBW in Metro City. The design of this study is case control where data obtained through interview with questionnaire. The number of respondents was 102 consisting of 51 cases and 51 controls. Data were analyzed by multiple logistic regression. The results showed that factors related to LBW incidence in Metro City were weight gain during pregnancy, occupation, level of knowledge, economic status, exposure to cigarette smoke, dietary restrictions, and access to health services. The most significant factor associated with the occurrence of LBW in Metro City is weight gain during pregnancy that is different according to the level of knowledge. After controlled age, physical activity, birth spacing, and history of LBW birth, mothers with weight gain "
2018
T50651
UI - Tesis Membership  Universitas Indonesia Library
cover
Irene Jesihka
Determinan kesiapan ibu dalam melahirkan sehat di wilayah kerja Puskesmas Brebes, Jawa Tengah tahun 2018 = Determinants of maternal readiness in childbirth healthy in work Area Puskesmas Brebes, Central Java, 2018
"ABSTRAK
Nama : Irene JesihkaProgram Studi : Manajemen Pelayanan KesehatanJudul : Determinan Kesiapan Ibu dalam Melahirkan Sehat di WilayahKerja Puskesmas Brebes, Jawa Tengah Tahun 2018Pembimbing :Dr. Ede Surya Darmawan SKM, MDMABSTRAKDi Indonesia kematian ibu melahirkan masih merupakan masalah utama dalam bidang kesehatan.Angka Kematian Ibu AKI merupakan salah satu indikator untuk melihat derajat kesehatan perempuan. Angka kematian ibu juga merupakan salah satu target yang telah ditentukan dalam tujuan pembangunan millenium yaitu tujuan ke 5 yaitu meningkatkan kesehatan ibu. Untuk melihat bagaimana kesehatan ibu hamil bisa diukur dengan kesiapan selama hamil sampai melahirkan secara sehat.Tujuan Penelitian: Untuk Mengetahui Determinan Kesiapan Ibu dalam Melahirkan Sehat di wilayah kerja Puskesmas Brebes kabupaten Brebes Provinsi Jawa Tengah tahun 2018.Metode: Desain penelitian kuantitatif yang bersifat cross sectional di mana data yang menyangkut variabel bebas dan variabel terikat diambil dalam waktu yang bersamaan. Teknik pengambilan sampel menggunakan Non Probability Sampling yaitu Accidental Sampling dengan jumlah sebanyak 100 sampel. Pengumpulan data menggunakan kuesioner dan catatan kehamilan dalam buku Kesehatan Ibu dan Anak.Hasil:Analisis menggunakan uji Chi-Square dengan tingkat kemaknaan 95 =0,05 dan menunjukkan nilai = 0,016 untuk pendidikan ibu hamil, nilai = 0,314 untuk pekerjaan ibu hamil, nilai = 0,903 untuk pendapatan keluarga ibu hamil, nilai = 0,047 untuk Dukungan tenaga kesehatan, dan nilai p = 0,783 untuk aksesibilitas ibu menuju pelayanan kesehatan.Kesimpulan: terdapat hubungan pendidikan dengan kesiapan ibu dalam melahirkan sehat, terdapat hubungan dukungan tenaga kesehatan dengan kesiapan ibu dalam melahirkan sehat, tidak terdapat hubungan pekerjaan, pendapatan dan aksesibilitas ibu hamil dengan kesiapan ibu dalam melahirkan sehat di Puskesmas Brebebes, Jawa Tengah.Kata Kunci : Angka Kematian Ibu, Ibu hamil, Kesehatan Ibu Hamil, Pendidikan, Dukungan Tenaga Kesehatan, Pekerjaan, Pendapatan, dan Aksesibilitas.
Name Irene JesihkaStudy Program Health Care ManagementTitle Determinants of Maternal Readiness in Childbirth Healthyin Work Area Puskesmas Brebes, Central Java, 2018Mentor Lecturer Dr. Ede Surya Darmawan SKM, MDMABSTRACTIn Indonesia, maternal status is still a major problem in the health sector. One of the benchmarks to see the level of public health is to measure maternal mortality in the province. Maternal Mortality Rate MMR is one indicator to see the degree of women 39 s health. Maternal death is also one of the targets set in the millennium development goals of the fifth goal to improve maternal health. To see how the health of pregnant women can be measured with readiness during pregnancy until healthy delivery.Objective To Know the Determinant Maternal Preparation on Healthy Delivery at Brebes Health Center in Brebes District, Central Java Province 2018.Method Quantitative research design is cross sectional where data is different and different variable. Sampling technique using Non Probability Sampling is Accidental Sampling with number of 100 samples. Data collection using questionnaires and notes in the Maternal and Child Health book.Result The analysis using Chi Square test with 95 significance level 0,05 and value show 0,016 for education of pregnant mother, value 0,314 for pregnant woman job, value 0,903 for income family of pregnant women, 0,047 for health service, and p value 0,783 for mother access to health service.Conclusion there is a relationship of education with the readiness of mother in childbirth, there is relation with others, no relation, income and accessibility of pregnant mother with readiness giving birth at Brebebes Health Center, Central Java.Key Words Maternal Mortality Rate, Pregnant Women, Pregnant Women 39 s Health, Education, Medical Devices, Employment, Income, and Accessibility."
2018
T51160
UI - Tesis Membership  Universitas Indonesia Library
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