Luluk Nur Fakhidah 1), Fitria Hayu Palupi 2)1), 2) Program Studi D3 Kebidanan STIKes Mitra Husada KaranganyarEmail :lu2nfh@gmail.com,fitria_hp45@yahoo.co.idABSTRAKPemberian ASI eksklusif sangat diperlukan sampai bayi karena sebagai makanan alamiah ASI saja sudah cukup untuk memenuhi kebutuhan gizi bayi dan energi hingga berumur 6 bulan. Tujuan penelitian ini adalah untuk mengetahui faktor individu yang menentukan pemberian ASI eksklusif pada ibu menyusui di Kabupaten Karanganyar. Faktor yang di identifikasiantara lain usia ibu, tingkat pendidikan ibu, status pekerjaan, urutan kelahiran bayi, tempat bersalin, proses persalinan dan IMD. Penelitian ini adalah penelitian kuantitatif analitik observasionaldengan pendekatan cross sectional dan metode survey analitik.Pengumpulan data dilakukan dengan kuesioner. Jumlah responden sebanyak 38 ibu yang memenuhi kriteria inkiusi dengan teknik pengambilan sampel purposive sampling. Data yang diperoleh diolah secara statistik dengan menggunakan uji Chi Square dan fisher exact test untuk menentukan faktor-faktor yang berpengaruh terhadap pemberian ASI eksklusif dan regresi logistik digunakan untuk menentukan faktor yang paling berpengaruh terhadap pemberian ASI eksklusif. Uji statistik menunjukkanvariabel yang berpengaruh secara signifikan terhadap pemberian ASI eksklusif adalah paritas dan IMD. Uji regresi logistik menunjukkan bahwa faktor paling dominan yang mempengaruhi pemberian ASI eksklusif adalah tindakan IMD dengan p=0,025 dan OR=0.19 Faktor individu yang berpengaruh terhadap pemberian ASIeksklusif paritas dan Imdd sedangkan usia ibu,pendidikan, status bekerja,paritas dan jenis proses persalinan tidak menunjukan pengaruh signifikan terhadap pemberian ASI eksklusifKata kunci: faktor individu, ASI eksklusifANALYSIS FACTORS AFFECTING EXCLUSIVE BREASTFEEDINGABSTRACTThe provision of exclusive breastfeeding is very necessary until the baby because only natural food ASI is enough to meet the nutritional needs of the baby and energy up to 6 months of age. The purpose of this study was to determine the individual factors that determine exclusive breastfeeding in nursing mothers in Karanganyar Regency. Factors identified included maternal age, maternal education level, employment status, baby birth order, place of birth, labor and IMD. This study was an observational quantitative analytic study with a cross sectional approach and analytical survey method. Data collection was done by questionnaire. The number of respondents was 38 mothers who fulfilled initial criteria with purposive sampling sampling technique. The data obtained were processed statistically using Chi Square test and fisher exact test to determine the factors that influence exclusive breastfeeding and logistic regression was used to determine the most influential factors for exclusive breastfeeding. Statistical tests show variables that significantly influence exclusive breastfeeding are parity and IMD. Logistic regression test showed that the most dominant factor affecting exclusive breastfeeding was IMD with p = 0.025 and OR = 0.19 Individual factors that influence exclusive breastfeeding parity and Imdd while maternal age, education, work status, parity and type of labor were not show significant influence on exclusive breastfeedingKeyword : Individual factors, Exclusive breastfeeding
Berdasarkan kajian awal yang dilakukan pada kader di Desa Kragilan Kecamatan Mojolaban, Kader kesehatan membutuhkan pengetahuan tentang HIV/AIDS dan pengetahuan tentang cara penanganan masalah pemberian ASI. Desa Kragilan Kecamatan Mojolaban merupakan salah satu Desa di Kabupaten Sukoharjo, kader kesehatan yang yang merupakan ujung tombak dan perpanjangan tangan dari bidan, maka kader kesehatan perlu mendapatkan upgrade ilmu tentang kesehatan. Kader diharapkan juga dapat menjadi pendamping bagi masyarakat yang berpotensi menderita HIV/AIDS, mengingat seks bebas dan kehamilan diluar nikah semakin meningkat, sedangkan kasus HIV/AIDS seperti gunung es yang tidak terlihat. Di Kabupaten Sukoharjo kasus HIV/AIDS sebanyak 495 yang terdiri dari 236 kasus HIV, 259 kasus AIDS dan 69 orang meninggal karena HIV/AIDS. Perlunya peningkatan pengetahuan kader tentang HIV/AIDS serta pencegahannya menjadi bagian yang sangat penting dari tugas kader kesehatan. Selain HIV/AIDS permasalahan yang sering dihadapi masyarakat adalah cakupan ASI Eksklusif yang belum tercapai. Masyarakat belum memahami dan melakukan teknik breastcare dan pijat oksitosin untuk meningkatkan produksi ASI. Di Desa Kragilan terdapat 41 bayi dan jumlah balita 198 anak, diharapkan cakupan ASI ekslusif dapat meningkat, kader diberikan pengetahuan tentang cara penanganan masalah ASI sehingga dapat membimbing para ibu menyusui, untuk dapat keluar dari masalah menyusui. Pelaksaan kegiatan pengabdian masyarakat berupa kegiatan yang kemas dengan mini talkshow, dilanjutkan dengan praktik teknik Breast Care, Oksitosin massage, dan Marmet. Kegiatan dilaksanakan pada tanggal 13 November 2018, dengan peserta 27 orang kader kesehatan Desa Kragilan. Dengan meningkatnya pengetahuan kader diharapkan dapat penularan HIV/AIDS, mendamping para ibu dan mampu melakukan langkah awal pertolongan sederhana pada masalah kesehatan ibu sehingga tercapai peran kader yang optimal untuk meningkatkan kesehatan ibu dan bayi. Based on the preliminary studies conducted on cadres in Kragilan Village, Mojolaban District, it showed that health cadres need knowledge about HIV / AIDS and that of about how to handle with breastfeeding problems. Kragilan Village, Mojolaban District is one of villages in Sukoharjo Regency. A health cadre is considered as the spearhead and extension of midwives, so they needs to upgrade their health knowledge. Cadres are also expected to be companions for people who potentially suffer from HIV / AIDS, asfree sex and pregnancy before marriage are getting increased, while the cases of HIV / AIDS are like invisible icebergs. In Sukoharjo Regency, there are 495 HIV / AIDS cases consisted of 236 HIV cases, 259 AIDS cases, and 69 people died due to HIV / AIDS. The need to increase cadre knowledge about HIV / AIDS and its prevention become a very important part of the health cadre's duty. In spite of HIV / AIDS, a problem that is often encountered by the community is exclusive breastfeeding coverage that has not yet been reached. People have not understood and done breastcare techniques and oxytocin massage to improve breastmilk production. In Kragilan Village, there are 41 babies and 198 toddlers. It is expected that exclusive breastfeeding coverage can improve, cadres are provided with knowledge about how to deal with breastfeeding problems so that they can guide lactating mothers to get rid of breastfeeding problems. The implementation of community service activities was in the form of activities designed through a mini talk show, followed by practice of Breast Care techniques, Oxytocin massage, and hand-pumped breastmilk. The activity was held on November 13, 2018, involving 27 health cadres from Kragilan Village. By the improvement of cadre knowledge, it is expected that HIV / AIDStransmission can be reduced, they can assist mothers and are be able to do initial steps of simple assistance on maternal health issues so that optimal cadre roles can be achieved to improve maternal and infant health.
Baby massage atau lebih dikenal dengan pijat bayi sebenarnya dapat dilakukan oleh orang tua. Namun sebagian besar orang tua merasa takut untuk melakukan pemijatan bayi sendiri. Orang tua juga masih jarang melakukan senam bayi (baby gym), sehingga mengandalkan bantuan orang lain untuk melakukan baby massage dan baby gym. Padahal masa pandemi Covid-19 ini, pemijatan yang dilakukan oleh orang tua akan sangat baik sekali, sebab orang tua akan merasa aman dan nyaman untuk melakukan stimulasi pada bayi dengan baby massage dan baby gym untuk meningkatkan daya tahan tubuh serta meningkatkan kecerdasan bayi agar dapat berkembang dengan optimal dengan melalui sentuhan (baby massage) dan gerakan senam bayi (baby gym). Pemijatan yangdilakukan oleh orang tua, selain memberikan stimulus pada bayi / balita juga akan memberikan dampak positif dari bayi yaitu adanya kedekatan secara psikologis antara bayi dan orangtua. Pelaksanaan kegiatan dilaksanakan pada tanggal 23 Oktober 2020 menggunakan media zoom cloud meeting karena ini masih dalam masa pandemi Covid-19, keterbatasan dalam mengumpulkan masyarakat, maka kami lakukan melalui virtual menggunakan zoom dan dilanjutkan evaluasi kegiatan pada tanggal 28 Januari 2021 yang bertempat di Balai Desa Madegondo dengan mengundang 3 orang ibu dan 2 kader kesehatan untuk pelaksanaan evaluasi dengan menerapkan protocol kesehatan yang ketat. Hasil pengabdian masyarakat ini menunjukkan adanya peningkatan pengetahuan dan ketrampilan ibu balita dalam melakukan baby gym dan baby massage sehingga dapat diterapkan dan diaplikasikan secara langsung.
This community service is aimed at developing children’s character so that they are willing to caretoward their environment (social awareness), to actively involved in activities, and improve their creativity. The method used in this community service is by doing assistance and giving accompanying to school-age children who willingly join the activities for a month which is held once in a week. The accompanying is conducted through ‘Learning is Fun’ approach. The target of this community service activity is school-age students of 7 up to 10 years old who willingly join activity for a month. The results of the activity are children willingly behave and care that cover sharing together, helping others in need, and actively involving in various activities. The results of the activity are the success of this community service activity that is reflected from the activities and the enthusiasm of children who attend which are 12 school-age children. They come and join each session orderly and carry out the activities well. Based on the communication to some parents, children have started helping simple household core, such as making the bed, sweeping, and washing. This succeed can also be seen from the children’s spirit in joining each activity. This activity is expected to be able to improve character of social care in children, foster children's creativity and improve children's learning experience.
During the pandemic, government policies have had an impact on health workers in the prevention of infection and the spread of COVID-19. Midwives as one of the health workers who directly provide health services to pregnant women, during childbirth and the post partum period are the spearhead in breaking the Covid-19 chain. It is undeniable that the practice of independent midwives is the most accessible health service for rural communities. Based on field observation data, there are still discrepancies in the implementation of the Covid 19 Infectious Disease Prevention based on the characteristics of the midwife. Descriptive research design with accidental sampling method on 32 respondents. Characteristics of the majority of respondents aged 41-50 years with the latest education, namely Diploma IV or S1.
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