Tri Anasari1, Ika Pantiawati21) 2) Akademi Kebidanan YLPP PurwokertoE-mail: sariayu_nemen@yahoo.co.id, icha.pewe@yahoo.comABSTRAKPendahuluan: Persalinan preterm merupakan persalinan belum cukup umur di bawah usia kehamilan 37 minggu dan berat bayi kurang dari 2500 gr. Dampak yang dapat ditimbulkan dari kejadian persalinan preterm antara lain hipotermi, asfiksia, ikterik, infeksi dan pertumbuhan retardasi janin. Dampak tersebut merupakan penyebab utama kematian pada bayi. Persalinan preterm di RSUD Margono Soekarjo dari tahun 2010-2013 terus meningkat. Tahun 2011 mengalami kenaikan 0,01%, tahun 2012 naik 3,32% dan tahun 2013 meningkat 3,4%. Tujuan penelitian ini adalah mengetahui faktor-faktor yang mempengaruhi persalinan preterm, meliputi usia, paritas, pekerjaan, status gizi dan riwayat kelahiran preterm di RSUD Prof. Dr. Margono Soekarjo Purwokerto. Metode penelitian: Jenis penelitian ini adalah survei analitik dengan pendekatan case control retrospektif. Populasi penelitian ini adalah seluruh ibu bersalin dari Januari-Desember 2013. Sampel dalam penelitian ini berjumlah 77 ibu bersalin preterm dan 77 ibu bersalin non preterm dengan total 154 responden, menggunakan teknik systematic random sampling. Analisis bivariat menggunakan uji chi square dan analisis multivariat menggunakan regresi logistik.Hasil penelitian: Sebagian besar usia, paritas, pekerjaan, riwayat persalinan preterm, dan status gizi tidak berisiko. Ada hubungan antara usia dengan persalinan preterm (p=0,004), ada hubungan paritas dengan persalinan preterm (p=0,001), ada hubungan pekerjaan dengan persalinan preterm (p=0,000), ada hubungan riwayat persalinan dengan persalinan preterm (p=0,000) dan ada hubungan status gizi dengan persalinan preterm (p=0,003). Kesimpulan: ada pengaruh secara bersama-sama antara usia, paritas, pekerjaan, riwayat persalinan dan status gizi dengan persalinan preterm di RSUD Prof. Dr. Margono Soekarjo Purwokerto.Kata Kunci: Persalinan Preterm, Usia, Paritas, Pekerjaan, Riwayat Persalinan, Status GiziFACTORS RELATED TO THE PRETERM LABOR IN HOSPITAL PROF. Dr. MARGONO PURWOKERTO ABSTRACTPreterm delivery is not old enough labor below 37 weeks gestation and birth weight less than 2500 gram. The impact that may result from the incidence of preterm labor include hypothermia, asphyxia, jaundice, infections and fetal growth retardation. The impact is a major cause of death in infants. Preterm labor in hospitals Margono Soekarjo of the year 2010-2013 continues to increase. The Year 2011 increased 0.01%, in 2012 rose 3.32% and in 2013 increased by 3.4%. The purpose of this study was to factors cause of preterm labor include age, parity, employment, nutritional status and a history of preterm birth in hospitals Prof. Dr. Margono Soekarjo Purwokerto. This type of research is analytic survey with a retrospective case control approach. The study population was all women giving bith from January to December 2013. The sample in this study amounted to 77 preterm birth mothers and 77 non preterm birth mothers with a total of 154 respondents, using systematic random sampling technique. Bivariate analysis using chi square test and multivariate analysis using logistic regression. Results: Most of age, parity, Employment, a history of preterm delivery, and nutritional status were not at risk. There is a corelation between age and preterm delivery (p = 0.004), there is a corelation of parity with preterm delivery (p = 0.001), there is an employment corelation with preterm delivery (p = 0.000), there is a corelation history of labor with preterm delivery (p = 0.000) and No correlation with preterm labor nutritional status (p = 0.003). Conclusion: there is an influence jointly between age, parity, employment, labor history and nutritional status and preterm delivery in hospitals Prof. Dr. Margono Soekarjo Purwokerto.Keywords: Preterm, Age, Parity, Employment, Labor History, Nutritional Status
Background and Objectives: Indonesia has launched the Wifi TB application that serves as a monitoring and control tuberculosis (TB) cases since September 2018. This research aims to identify characteristics, perceptions, and technicalities on the willingness to use the Wifi TB application. Methodology: This research was conducted by collecting data from 129 doctors in Semarang city, then carried out the descriptive analysis, factor analysis & logistics as data analysis techniques. Results: The results showed that respondents with age> 45 years, DPM agencies, length of work> 10 years, perception benefit high, perception ease high, getting training and good technical implementation will be more chance to use the Wifi TB application, while gender and technical obstacle have a low impact on the use of the Wifi TB application. The use of the Wifi TB application is influenced by dominant factors, which is the perception of benefit, perception of ease, technical implementation, and training at 69%. Conclusions: To increase users' Wifi TB application, there needs to be retraining and technical implementation of the Wifi TB application, also strengthening the perception of benefit and ease of respondents on the Wifi TB application.
Pemberdayaan dan pembangunan Green House ini bertujuan untuk memberdayakan masyarakat terutama pengrajin jamu di Kampung Jamu Wonolopo yang berlokasi di Kecamatan Mijen, Kabupaten Kota Semarang, Provinsi Jawa Tengah. Sebagian besar penduduknya mencari rezeki melalui penjualan jamu, seiring berkembangnya usaha Jamu, Kampung Jamu Wonolopo dinobatkan sebagai Kampung Tematik Jamu pada tahun 2016 oleh Wali Kota Semarang. Penberdayaan masyarakat yang dilakukan adalah membangun Green House di lahan konservasi Tanaman Obat yang berada di Kampung Jamu Kelurahan Wonolopo. Metode pelaksanaan yang digunakan adalah (1) Survei Lokasi Green House Sebagai Taman Konservasi Tanaman Obat, (2) FGD Asessment Kebutuhan, (3) Perancangan Skema Green House Dengan Beragam Jenis Tanaman Obat, (4) Pembangunan Green House. Lokasi di Dusun Sumber Sari Kelurahan Wonolopo. Waktu Pelaksanaan bulan Juli-September 2022 Hasil pelaksanaan pengabdian masyarakat, dibangunnya wilayah Taman Konservasi Tanaman Obat di Kampung Jamu Wonolopo yaitu Green House yang bermanfaat bagi masyarakat untuk memproduksi bahan baku jamu sendiri sehingga dapat menghemat biaya produksi yang digunakan.
Background and Objective: Stunting, low birth weight, maternal death, and child mortality have all become public health issues in recent years, particularly in Semarang, Indonesia. Simultaneously, the COVID-19 pandemic is spreading. Between the years 2019 and 2021. Methods: The Semarang City Health Service's secondary data analysis strategy was combined with a quantitative descriptive research methodology in this study. To evaluate numerical patterns in stunting, low birth weight, maternal death, and infant mortality in the data, simple regression were utilized. Results: According to the findings, the trend of stunting (modeling results y = 35,236 x + 361.77) and maternal mortality (modeling results 0.0218x+1.2921) increased between 2019 and 2021, whereas the trend of low birth weight (modeling results y = - 0.5425x+60.008) and child mortality (modeling results y = -0.0028x+ 2.202) decreased. The number of low birth weight has the lowest trend value, while the stunting rate has the greatest. Conclusion: Stunting rates increased, the low birth weight dropped, maternal mortality increased, and child mortality decreased in Semarang. The conditions of the Covid-19 epidemic have at least influenced this condition.
The COVID-19 pandemic has paralyzed the health system, including the puskesmas, so concrete steps are needed for prevention, one of which is through vaccination. The COVID-19 vaccination is a program that is carried out in stages with health workers being the priority target. Banyumas Regency is an area in Jawa Tengah Province that has been affected by COVID-19 with four puskesmas closing their services due to the large number of health workers with COVID-19. Vaccine quotas in Banyumas Regency are often short, thus affecting the implementation of the vaccination program. The implementation model shows that there are four variables that play a role in the success of the program, namely communication, resources, disposition, and bureaucracy. The aim of this research is to analyze the implementation of the COVID19 vaccination program at the puskesmas in the working area of the Dinas Kesehatan Kabupaten Banyumas. This research is a qualitative research with the main informants were from the four puskesmas with the most affected by COVID-19 and the puskesmas with the highest number of midwives, and with triangulation informants were the vaccination program’s coordinator at the puskesmas, the head of the puskesmas and the vaccination program’s coordinator at the Dinas Kesehatan Kabupaten Banyumas. The results obtained were on the communication factor, the main informant received information from the health office. On the resource factor, the main informants felt that the human resources involved were sufficient, competent, and involved cross-sectoral collaboration, and always complied with SOPs. On the disposition factor, both main and triangulation informants agreed on the COVID-19 vaccination program for midwives despite the obstacles. Meanwhile, due to the bureaucratic factor, the main informant stated that the SOPs was complete and had been implemented accordingly.
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