Angka kejadian kanker di Indonesia (136.2/100.000) berada diurutan 8 di Asia Tenggara dan urutanke 23 di Asia. Di Indonesia kejadian kanker lebih di dominasi oleh kanker payudara yaitu 42,1 per 100.000 penduduk. Kanker payudara yang ditemukan pada stadium dini kemungkinaan sembuhnya mendekati 95%, sehingga pemeriksaan deteksi dini sangat diperlukan. Salah satu program deteksi dini kanker payudara adalah Pemeriksaan Payudara Sendiri (SADARI) . Di tahun 2016, sebanyak 53,7% masyarakat tidak melakukan SADARI. Penelitian ini bertujuan untuk mengetahui hubungan pengetahuan tentang kanker payudara dengan perilaku SADARI (Periksa Payudara Sendiri) pada mahasiswi AKBID Panca Bhakti Bandar Lampung tahun 2019.Penelitian ini menggunakan desain analitik observasionalmelalui pendekatan cross-sectional terhadap 133 mahasiswa kebidanan. Analisis statstik yang digunakan adalah uji chi-square. Hasil penelitian menunjukan sebagian besar pengetahuan mahasiswa kebidanan dalam kategori baik(43,8%). Perilaku SADARImahasiswa kebidanan sebagian besar dalam kategori kurang (73,7%).Secara statistik tidak terbukti ada hubungan antara pengetahuan tentang kanker payudara dengan perilaku SADARI (ρ= 0,420). Perlu dilakukan penelitian lanjutan dengan metode eksperimental berupa pre test dan post test tentang efektifitas video dengan prilaku SADARI.
Program keluarga berencana merupakan satu strategi efektif dalam menurunkan angka kematian ibu. Hal ini akan tercapai dengan meningkatnya angka keberlangsungan kesertaan ber-KB. Metode kontrasepsi jangka panjang (MKJP) merupakan metode KB yang paling efektif dalam meningkatkan keberlangsungan kesertaan ber-KB. Provinsi Sumatera Barat merupakan satu provinsi dengan capaian peserta kb aktif terendah yaitu 63,73%. Begitu juga dengan kota Padang yaitu 15,50% ditahun 2016 dan 19,00% ditahun 2017. Penggunaan metode MKJP dipengaruhi oleh banyak faktor diantaranya kualitas dan akses pelayanan KB, keterbatasan sarana, kompetensi provider, pengetahuan, sosial-budaya, dan dukungan psikososial. Penelitian ini bertujuan menganalisis faktor yang berhubungan dengan keputusan memilih metode MKJP di Kampung KB. Penelitian ini menggunakan desain kualitatif dengan pendekatan fenomenologi terhadap 19 informan yang ditentukan dengan teknik snowball sampling. Pengumpulan data diperoleh dari wawancara mendalam, observasi dan studi dokumentasi. Analisis data dilakukan dengan constant comparative method. Hasil penelitian menunjukkan bahwa faktor yang berhubungan dengan keputusan memilih KB MKJP di wilayah Kampung KB Padang adalah dukungan psikososial dari pasangan dan orang tua, kompetensi provider, prosedur pencatatan dan pelaporan, kualitas pelayanan KB, budaya masyarakat, persepsi negative terhadap KB MKJP, dan tidak adanya indikator sasaran untuk metode kontrasepsi.
Nutritional problems in Indonesia that need attention are undernutrition and overnutrition (double burden). In Indonesia, malnutrition is still the most common case and often occurs in under five children. Malnutrition has a significant impact on a health status. The data showed the prevalence of under-five children with sever wasted, wasted, and overweight in Indonesia were 3.9%, 13.8%, and 3.1%, respectively. Malnutrition problems in Lampung Province were under five children with sever wasted of 3.1%, wasted of 12.8%, and overweight of 2.8%. Malnutrition of under five children cases in Bandar Lampung City were found to be 3.02% of severe wasted and 13.07% of wasted. The data illustrates that the cases of under five children with malnutrition both nationally and locally are still high. Wasted was caused by many factors including nutrition, infectious diseases, and social factors. Undernutrition on under five children if not immediately intervened properly shall provided a great opportunity for children's nutritional status to fall into a worse condition, namely severe wasted, and so on will be a manifestation of stunting in under five children. The purpose of this scientific study was to determine the determinants associated with undernutrition status in under five children. Keywords : Nutrisional status of under five children, Malnutrition, Wasted
Effort of the optimalization the growth and development of children required adequate nutritional intake. Breast milk and complementary feeding were the main sources in supporting child growth. The timing to starting complementary feeding greated affects the quality of a child's health. The practice of giving complementary feeding early can increased the risk of high incidence of infections and growth disorders. Children who did not got optimal complementary feeding, 6.5 times more likely to experience growth disorders. Lack of understanding in the management of infant and child food, low education, socioeconomic factors were factors that cause malnutrition and infection problems in children under five, especially under the age of 24 months. The purpose of this community service was increased the knowledge of breastfeeding mothers and mothers who have children under the age of 2 (two) years about the Management of Complementary Feeding. The form of community service activitie was socialization method. The socialization method through face-to-face used presentation media and leaflets. The pretest was carried out before the extension activities with the result that the mother's level of knowledge about the management of complimentary feeding before the delivery of the extension material was in the Poor category with the average value of the evaluation results reaching 50.8%. The results of the posttest after being given the extension material showed an increase in the mother's knowledge about the management of complementary feeding with an average evaluation value of 85%, which was in the good category. There was an increase of 34.2% towards the increase in mother's knowledge about the management of complementary feeding. The result of this community service that providing information about the management of complementary feeding was very necessary so that breastfeeding mothers having good knowledge about the management of complementary feeding and can contribute to changes in mother's behavior in dealing with the stages of giving complementary feedingto their children. Then, giving the right complementary feeding can had been an impact on health optimal child development.
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