Background: Exclusive breastfeeding is a process of giving only breast milk to babies since they are born until they are six month old. Membramo Public Health Office reported that according to the health profile report from Kobakma Public Health Centre, the exclusive breastfeeding program has not achieved the national target, which is 80%, only 55,4% babies who got exclusive breastfeeding in 2015. The chairperson from Kobakma Public Health Centre states that one of the problem is the misunderstanding about breastmilk among mothers in the surroundin. They throw their breast milk away and feed their babies with formulated milk during the period of postpartum for three months. Purpose: This study is aimed to know the effect of counseling program using two sided flipchart on exclusive breastfeeding. Methods: This study uses quasi experiment method with non equivalent control group. The samples of this study are mothers who have 0-6 month old babies and live in working area of Kobakma Public Health. 60 mothers are selected using purposive sampling technique. The Instrument of this study uses questionnaire, data ccollection was done by face to face method. The data was then analyzed using chi square and wilcoxon signed rank test. Results: The result of this study shows significant difference in the improvement of knowledge, behaviour, and practice before and after the counseling program of the intervention group (p=0,000). Conclusion: The implementation of counseling program using two sided flipcharts is effective to improve mothers’ knowledge, behaviour and practice in exclusive breastfeeding.
Background: In 2016 Kopeta Health Center was ranked the 4th highest number of cough disease not pneumonia and pneumonia cases from 23 Puskesmas in Sikka District. Health education on pneumonia in this health center has often been conducted, but it seems that the results have not been effective in improving the knowledge of mothers. This is due to the fact that it is only prioritized for mothers who come as their children’s illness and information provision has not been improving the knowledge of mothers on child pneumonia prevention. This study aims to compare the effectiveness of booklets provision and buzz group methods to increase knowledge, attitudes and practices of mothers in the prevention of pneumonia in children.Method: This study employed a quasi experimental design with non-equivalent control group. The sample of this study is the mothers who have children 0-5 years old, in Nangalimang and Kabor villages and 90 mothers were selected by using systematic random sampling technique. Data was collected using face to face interview by trained enumerators guiding with close-ended questionnaire that has been validated. Data were then analyzed by Chi-Square test and Manova Post Hoc Tukey.Results: Pneumonia lectures followed by giving booklets and buzz group discussion were effective in increasing maternal knowledge and attitudes in the prevention of children pneumonia. Whereas, buzz group were more effective in improving the practice of mothers in the prevention of pneumonia than the provision of booklets. This is because the buzz method makes mothers more actively participate and creative in solving pneumonia problems by looking at other mothers' experiences. It is recommended that using buzz group lectures as an alternative method in efforts to health education for mothers, especially in the prevention of children pneumonia.
Data Dinas Kesehatan tercatat 2.165 kasus positif covid-19 di Kabupaten Sikka hingga Juli 2021. Infeksi virus covid-19 dapat menyerang sistem pernapasan anak dan berpotensi menularkan pada teman-temannya saat bermain. Oleh sebab itu anak-anak perlu diajarkan cara pencegahan covid-19. Petugas kesehatan Puskesmas Kewapante belum pernah memberikan edukasi tentang pencegahan penularan covid-19 pada anak-anak usia 3-5 tahun di Desa Umagera. Hasil pengabdian masyarakat sebelumnya diketahui Storytelling merupakan strategi edukasi kreatif dan terbukti meningkatkan pemahaman anak. Tujuan penelitian ini menganalisis perbedaan pengetahuan anak tentang pencegahan penularan covid-19 sebelum dan sesudah pendidikan kesehatan metode storytelling di Polindes Habilopong. Penelitian ini merupakan penelitian pre eksperimen one group pretest posttest design. Sampel penelitian 20 anak usia 3-5 tahun yang terdaftar di Polindes Habilopong yang diambil dengan tehnik total sampling. Pengumpulan data menggunakan kuesioner panduan pertanyaan. Anak usia 3-5 tahun diberikan pendidikan kesehatan metode storytelling media buku cerita tentang pencegahan covid-19 dilanjutkan demonstrasi cara menggunakan dan melepaskan masker. Pendidikan kesehatan diberikan 6 kali dengan waktu masing-masing pertemuan selama 15 menit. Buku cerita yang digunakan adalah 3 buku cerita seri edukasi korona, masing-masing buku diceritakan sebanyak 2 kali pertemuan. Analisis data menggunakan uji ranking bertanda wilcoxon karena hasil uji shapiro wilk sig. 0,004 data berdistribusi tidak normal. Hasil penelitian ada perbedaan bermakna antara pengetahuan sebelum dan sesudah pendidikan kesehatan, nilai z -3934 dengan p value 0,000 lebih kecil dari 0,05. Pendidikan kesehatan menggunakan metode storytelling dikombinasikan dengan demonstrasi sebagai salah satu alternatif metode yang sesuai dengan sasaran anak usia 3-5 tahun.
Latar belakang : Maluku Tenggara berada pada peringkat ke-2 tertinggi kasus HIV/AIDS dari 11 kabupaten di Maluku. Ibu rumah tangga di Wilayah Kerja Puskesmas Kolser rentan tertular HIV dari suaminya. Rumah tangga daerah ini 40% tidak tinggal bersama karena suami bekerja tidak menetap, selain itu di daerah ini juga terdapat lokalisasi. Ibu hamil yang memanfaatkan layanan Provider Initiated HIV Testing Counselling tahun 2017 sebanyak 76% dari 321 kunjungan, data ini menunjukkan Puskesmas Kolser belum mencapai target Maluku Tenggara terkait program yakni 89%. Tujuan : Mengetahui faktor yang mempengaruhi pemanfaatan layanan PITC oleh ibu hamil di Wilayah Kerja Puskesmas Kolser. Metode : Penelitian ini menggunakan metode observasional analitik pendekatan cross-sectional. Subjek 155 ibu hamil di Wilayah Kerja Puskesmas Kolser yang diperoleh dengan tehnik total sampling. Instrumen penelitian kuesioner, data dikumpulkan dengan metode face to face dan dianalisis menggunakan uji chi square dan regresi ogistik ganda metode backward Hasil : Terdapat hubungan pengetahuan (p=0,000), persepsi manfaat pemeriksaan HIV (p=0,007), dan persepsi kerentanan (p=0,040) dengan pemanfaatan layanan PITC. Ibu hamil yang mempunyai pengetahuan rendah beresiko 3,825 kali lebih besar untuk tidak memanfaatkan layanan PITC dibandingkan ibu hamil dengan pengetahuan yang tinggi. Simpulan : Pengetahuan ibu hamil merupakan faktor yang paling signifikan terkait pemanfaatan layanan PITC di Wilayah Kerja Puskesmas Kolser Maluku. Kata kunci : Ibu hamil, PITC, pengetahuan, HIV/AIDS Relationship Between Mother’s Knowledge and Perception with the Use of Provider Initiated HIV Testing Counselling in Maluku Background : Southeast Maluku district is ranked the 2th highest number of HIV/AIDS cases from 11 district in Maluku. Housewives in Kolser health center are at risk of contracting HIV from their husbands. Families in this area 40% do not live together, because the husband works non permanently. Another reasons is that in this area there are prostitute houses. Kolser health center is one of the Puskesmas that serves HIV testing in Southeast Maluku. Pregnant women who come to visit PITC in 2017 were 247 mothers out of 321 visits. Purpose : This study aims to explore the behavioural factors that influence pregnant women’s to PICT at the Kolser health center. Methods : This study employed a cross-sectional design. The sample of this study consists of 155 pregnant mothers in Puskesmas Kolser, selected by using total sampling. Data was collected using face to face interview by trained enumerators. Data were then analysed with chi-square test and logistic regression backward method. Results : The finding of this study is that there is a relationship between knowledge (p=0,000), perceived benefit (p=0,007), perceived susceptibility (p=0,040) with the visit of pregnant women to PITC. Compared to pregnant women who do not have sufficient on HIV/AIDS, those who have sufficient knowledge on HIV/AIDS was 3.825 times more likely to come visit PITC Conclusion : sufficient knowledge of pregnant women is the most significant factor related to the utilization of PITC in Kolser health center. Keywords : pregnant women, PITC, knowledge, HIV/AIDS
Masa remaja merupakan masa transisi, terjadi perubahan fisik yang cepat terkadang tidak seimbang dengan perubahan mental, hal ini dapat membawa remaja pada perilaku seksual yang tidak bertanggungjawab. Survey Perilaku Seks Remaja Kabupaten Sikka tahun 2017, remaja usia 12-24 tahun belum menikah dan pernah melakukan hubungan seksual sebanyak 35%, lebih tinggi dari persentasi nasional yaitu 10%. Data Kelurahan, Kota Uneng tahun 2019 diketahui, remaja sering nongkrong di turap sambil menonton film porno, terjadi kehamilan tidak diinginkan sebanyak 12 kasus. Tujuan penelitian ini adalah untuk mengetahui faktor-faktor yang mempengaruhi perilaku pacaran dan seks pranikah remaja. Metode yang digunakan dalam penelitian ini yaitu observasional analitik pendekatan cross-sectional. Responden 200 remaja di Kota Uneng usia 14-21 tahun, mempunyai pacar, yang diperoleh dengan tehnik Proportional stratified random sampling. Instrumen penelitian kuesioner, pengumpulan data face to face, analisis menggunakan uji chi square dan regresi ogistik ganda. Hasil penelitian diketahui terdapat hubungan pengetahuan seks pranikah (p=0,005), akses media pornografi (p=0,000), dukungan keluarga (p=0,037), nilai budaya (p=0,006) dengan perilaku pacaran dan seks pranikah remaja. Pemahaman agama yang baik tidak serta merta menjadikan remaja melakukan perilaku pacaran tidak menyimpang (p=0,292). Remaja yang mengakses pornografi kemungkinan 0,019 kali lebih besar untuk melakukan perilaku pacaran menyimpang dibandingkan dengan remaja yang tidak mengakses. Simpulan, mengakses pornografi adalah faktor paling signifikan terkait perilaku seks pranikah di Kota Uneng.
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