Martha Irene Kartasurya

Difference Analysis of the Implementation of Ten Steps to Successful Breastfeeding between Private and Public Hospitals in District of Kudus

Ten Steps to Successful Breastfeeding (TSSB) is a key of successful exclusive breastfeeding. The implementation of TSSB at hospitals in District of Kudus was influenced by a difference bureaucratic system between private and public hospitals. This research aimed to analyze the difference of the TSSB implementation for successful breastfeeding between private and public hospitals in District of Kudus. This was qualitative research. Main informants encompassed head of childbirth room, midwives of Maternal and Child Health, 2 obstetricians, and 3 midwives at post-natal room. Meanwhile,

Factors Related to the Use of Long Term Contraception Method (A Study on Contraceptive Users in Kabupaten Sidoarjo, East Java Province)

Growth rate of Indonesian population was high, and long term contraception method (MKJP) was needed. The use of MKJP in Sidoarjo district tended to decrease; it was lower than the use of MKJP in province level. Objective of this study was to analyze association between knowledge, attitude of acceptors towards MKJP, family planning access, workers attitude in the family panning (KB) service and the use of MKJP in Sidoarjo district, East Java province. This was an observational-analytical and quantitative study using cross sectional approach. Study population was active acceptors in Sidoarjo district.Study subjects were 100 MKJP and non MKJP acceptors who were purposively selected. Data collection was done by collecting primary and secondary data. Data was analyzed by applying descriptive analysis, Chi-Square test, and multiple logistic regressions. Results of the study showed that 63% of respondents were more than 30 years old, 54% of respondents’ level of education were elementary school, 65% of

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN MINAT KUNJUNGAN ULANG PELAYANAN ANTENATAL DI POLIKLINIK KEBIDANAN RS ISLAM SUNAN KUDUS

Abstrak Latar belakang : Pasangan usia subur merupakan salah satu sasaran dari gerakan keluarga berencana nasional dalam menggapai terwujudnya pembudayaan norma Keluarga Kecil Bahagia Sejahtera. Selama ini upaya penanggulangan anemia gizi lebih difokuskan pada sasaran ibu hamil, sementara kelompok lain yang termasuk kelompok wanita pasangan usia subur (PUS) belum ditangani. Tujuan : Untuk mengetahui gambaran kadar hemoglobin masa reproduksi/ibu pasangan usia subur (PUS ) berdasarkan status obstetrikusnya. Metode : Penelitian ini bersifat diskriptik dengan pedekatan belah lintang, dan dilakukan pada semua ibu usia subur yang bertempat tinggal di dua desa di Kabupaten Grobogan Jawa Tengah dan Kabupaten Lombok Timur di Nusa Tenggara Barat. Sampel penelitian adalah semua ibu yang anaknya menjadi indeks penelitian tentang hubungan seng dengan pertumbuhan anak. Data primer didapat dari pemeriksaan hemoglobin dengan menggunakan spectophotometer dalam satuan g/dl. Status obstetrikus dilakukan dengan wawancara dengan menggunakan kuesioner. Pengolahan dan analisis data dilakukan dengan komputer PC SPSS. Hasil dan Simpulan : Dua koma tiga persen ibu PUS mempunyai kadar Hb < 8 gr/dl, 37,1% < 11 gr/dl dan 64,6% < 12 gr/dl. Kelompok ibu dengan GPA lebih banyak cenderung mempunyai kadar Hb lebih rendah. Kadar Hb rata-rata ibu hamil lebih rendah dari ibu yang tidak hamil. Kadar ibu dalam keadaan menyusui cenderung lebih tinggi dari yang tidak menyusui. Kadar Hb ibu yang mengikuti keluarga berencana lebih tiggi dari yang tidak ber-keluarga berencana. Kadar Hb ibu pengguna kontrasepsi hormonal lebih tinggi dibandingkan dengan pengguna kontrasepsi non hormonal, namun secara statistik tidak bermakna.Kadar Hb ibu pengguna kontrasepsi hormonal lebih tinggi dibandingkan dengan pengguna kontrasepsi non hormonal, namun secara statistik tidak bermakna. Kata kunci : Kadar hemoglobin, ibu masa repoduksi, status obstetrikus.Background : Motoric development is one of crucial step throughout the life cycle. Any disturbances in this step leads to growth and development abnormality. Variables controls the child’s motoric development are nutritional status, iron and zinc intake. This study aims to assess the correlation of nutritional status, iron and zinc intake with the motoric function among children. Method : This study is a part of the bigger study titled The Effect of Zink Supplementation and Vitamin A to Immune Response and Morbidity among Preschool-aged children in Semarang. Study design is cross sectional with purposive sampling. Data depicted anthropometric nutritional status, iron and zinc intake through Food Frequency Quantified and motoric function score based on the standard of Ministry of Health. Data analysis used the Pearson test and Rank Spearman for normality. Result: The lowest and highest motoric function was 11 and 100% respectively. The average nutritional status showed in Z score was–1,60 ± 1,10 (mild malnutrition), Height/Age index -1,86 ± 0,97 (mild malnutrition) andWeight/Height -0,60 ± 1,09 (normal). There was no correlation between nutritional status and motoric function. Iron and zinc adequacy were below the standard, 79,1% and 94,5% respectively. There was a positive correlation between iron intake and motoric function (r: 0,309; p: 0,003) and so were the zinc intake (r: 0,284; p: 0,006). Conclusion: There is a correlation between the iron, zinc intake and motoric function among children Key word: Nutritional satus, iron intake, zinc intake, child’s motoric function

Management of High Risk Pregnancy Early Detection on Antenatal Care at Primary Health Care in Jepara District

Maternal Mortality Rate in Jepara District in 2012 placed the 10th rank in Central Java, namely 21 per 100.000 live births. Severe preeclampsia was the most common cause, namely 8 persons (30%). Data of Local Area Monitoring in 2012 showed that coverage of high risk early detection by health workers was only 19.01% and had not achieved the national target yet. This research aimed to identify early detection management of a high risk pregnant woman on Antenatal Care services at health center in District of Jepara. This was qualitative research. Research variables were Input (human resources, funds, means, and Standard Operating Procedure), Process (planning, actuating, supervising, and monitoring), and Jurnal Manajemen Kesehatan Indonesia Volume 02 No. 03 Desember 2014

Analisis Pemanfaatan Bantuan Operasional Kesehatan dalam Upaya Peningkatan Kesehatan Ibu dan Anak di Puskesmas Wilayah Kerja Dinas Kesehatan Kabupaten Kudus

Terbatasnya pemahaman pentingnya persalinan Nakes terlatih menjadikan dukun sebagai pilihan penolong persalinan, disamping faktor sosial ekonomi, budaya, dan kinerja bidan, yang berdampak peningkatan AKI di Kabupaten Buton. Cakupan persalinan oleh tenaga kesehatan masih rendah, ditandai rendahnya jumlah dukun bermitra dan rendahnya rujukan kehamilan dan rujukan persalinan dukun di Puskesmas Wakaokili. Inilah cermin Program Kemitraan Bidan-Dukun oleh Bidan Desa di Puskesmas Wakaokili. Jenis penelitian deskriptif kualitatif. Pengumpulan data dengan wawancara mendalam pada 4 bidan desa dan 9 dukun bersalin sebagai informan utama. Data dianalisis menggunakan metode content analysis. Penelitian menunjukkan tujuan dan indikator keberhasilan program kurang dipahami, tidak ada aturan tertulis, tidak ada SOP dan pencatatan khusus kemitraan bidan-dukun. Diseminasi program bersifat pengenalan, pelaporan tidak didiskusikan. Pembinaan dan magang dukun tidak ada. Sikap pelaksana terhadap kemitraan cenderung mendua dan sumber daya kurang mendukung. Terbukti lingkungan ekonomi, sosial dan politik mempengaruhi keberhasilan program. Kata Kunci : Puskesmas, Program Kemitraan Bidan-Dukun . The limited knowledge on the importance of health workers deliveries, together with some other factors such as economies, social and culture, made traditional birth attendants became a choice of delivery services. This condition resulted in the increase of Maternal Mortality Rate in Buton District. The coverage of health workers deliveries in Wakaokili was still low. It was marked by the low rate of traditional birth attendance-midwives’ partnership and deliveries referral to the midwives, as well as high rates of traditional birth attendance deliveries. This study was a descriptive qualitative study. Data were collected by in depth interviews on 4 village midwives and 9 traditional birth attendants as the main informants. Data were analyzed by content analysis method. Results showed that the goals and program success indicators were not understood well. Dissemination was only an introduction and the report was not discussed. There was no coaching or internship program. The attitude tended to be ambivalent and the resources were not supportive. It is proven that economic, social and political environment influence the program results.