Media Penelitian dan Pengembangan Kesehatan最新文献

{"title":"Hubungan Operasi Sesar dengan Inisiasi Menyusu Dini di Indonesia: Analisis Data SDKI 2017","authors":"Siti Masitoh, Siti Nurokhmah, Anissa Rizkianti, Sugiharti Sugiharti","doi":"10.22435/MPK.V31I1.3430","DOIUrl":"https://doi.org/10.22435/MPK.V31I1.3430","url":null,"abstract":"\u0000 \u0000 \u0000The prevalence of exclusive breastfeeding and early initiation of breastfeeding in Indonesia, is still low 37.3% and 58.2%, respectively. However, cesarean delivery increased from 12.3% in 2012 to 17.0% in 2017. Women who gave birth by cesarean section were less likely to breastfeed earlier. This study aimed to determine the relationship between cesarean delivery and early initiation of breastfeeding among women in Indonesia. This study was a further analysis of the 2017 IDHS data with a sample of the 6,877 last-born children in the two years preceding the survey. The dependent variable was early initiation of breastfeeding, while the main independent variable was cesarean delivery. Other covariate variables included age, education, occupation, place of residence, parity, history of antenatal care, place of delivery and wealth index. Data analysis used logistic regression to determine the relationship between cesarean delivery and early initiation of breastfeeding, showing as the Adjusted Odds Ratio among 95% confidence interval. The results of the study showed that eight out of ten (82.75%) women who gave birth by cesarean section did not experience early initiation of breastfeeding, compared to those who delivered vaginal delivery (62.75%). Women who gave birth by cesarean section were 7.16 times more likely to not practice early initiation of breastfeeding (AOR 7.16; 95% CI: 3.66-14.01) compared to those who delivered vaginal delivery. To improve early initiation of breastfeeding, pregnant women need to be encouraged to do antenatal care (ANC) to increase their knowledge and confidence about breast milk. In addition, health workers and health care providers need to provide support to women who give birth by cesarean section to breastfeed as early as possible through providing adequate information about breastfeeding, encouraging rooming-in and preventing the promotion of formula milk. \u0000 \u0000 \u0000 \u0000Abstrak \u0000 \u0000 \u0000 \u0000Prevalensi air susu ibu (ASI) eksklusif dan inisiasi menyusu dini (IMD) di Indonesia, masih rendah yaitu masing-masing 37,3% dan 58,2%. Di sisi lain, kelahiran melalui operasi sesar meningkat dari 12,3% pada 2012 menjadi 17,0% pada 2017. Wanita yang melahirkan dengan operasi sesar lebih kecil kemungkinannya untuk menyusui lebih awal. Studi ini bertujuan untuk mengetahui hubungan persalinan sesar dengan IMD pada wanita di Indonesia. Studi ini merupakan analisis lanjut data Survei Demografi dan Kesehatan Indonesia (SDKI) tahun 2017 dengan sampel 6.877 anak terakhir yang lahir dalam kurun waktu dua tahun sebelum survei. Variabel dependen adalah IMD, sedangkan variabel independen utama adalah persalinan sesar. Variabel kovariat lainnya antara lain usia, pendidikan, pekerjaan, tempat tinggal, paritas, riwayat antenatal care, tempat persalinan, dan indeks kekayaan. Analisis data menggunakan regresi logistik untuk mengetahui hubungan antara persalinan sesar dengan IMD, yang dilihat dari nilai Adjusted Odds Ratio dengan interval kepercayaan 95%","PeriodicalId":18323,"journal":{"name":"Media Penelitian dan Pengembangan Kesehatan","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76098042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hubungan Hipertensi dalam Kehamilan dengan Kelahiran Prematur: Metaanalisis","authors":"Amalia Safitri, Sri Poedji Hastoety Djaiman","doi":"10.22435/MPK.V31I1.3881","DOIUrl":"https://doi.org/10.22435/MPK.V31I1.3881","url":null,"abstract":"\u0000 \u0000 \u0000Hypertension is still a problem in many countries, not only in developed countries but also developing countries. Hypertension that occurs in pregnant women will carry risks not only for the mother but also for the fetus. It often causes death for mother. In addition to endangering the mother, hypertension is also harmful to the fetus in the womb, by the incidence of inadequate placental oxygen transfer, intrauterine growth restriction (IUGR), preterm birth, placental abruption, stillbirth, and neonatal death. Premature birth is a concern because it affects children's growth and development in the future. This study aimed to determine the probability of preterm birth caused by pregnancy with hypertension collected from various articles that have been published. The method used to collect and select articles was the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) method and the analysis was using STATA to get an overview of the forest plot. The result of this analysis was that 1,969 articles from PubMed and Google Scholar were obtained based on the keywords pregnancy, hypertension, pre-eclampsia, eclampsia, and premature. After screening and eligibility based on inclusion criteria, 11 articles could be further analyzed and the pooled OR was 3.70 (CI 2.80 - 4.60). The conclusion is that pregnancy with hypertension still provides ample opportunities for premature birth, so it is necessary to improve antenatal care (ANC) services and education for pregnant women and their families. \u0000 \u0000 \u0000 \u0000Abstrak \u0000 \u0000 \u0000 \u0000Hipertensi masih menjadi permasalahan di berbagai negara, tidak hanya negara maju namun juga negara yang berkembang. Hipertensi yang terjadi pada ibu hamil akan membawa risiko tidak hanya bagi ibu tetapi juga untuk janinnya. Pada ibu tidak jarang terjadi kematian. Selain membahayakan ibu, hipertensi juga berbahaya pada janin yang ada dalam kandungan yaitu terjadinya transfer oksigen plasenta yang tidak adekuat, intrauterine growth restriction (IUGR), kelahiran prematur, solusio plasenta, lahir mati, dan kematian neonatal. Kelahiran prematur cukup menjadi perhatiaan karena berpengaruh terhadap pertumbuhan dan perkembangan dikemudian hari. Penelitian ini bertujuan untuk melihat besarnya peluang kejadian kelahiran prematur yang disebabkan oleh kehamilan dengan hipertensi yang dikumpulkan dari berbagai artikel yang sudah terbit. Metode yang dilakukan untuk pengumpulan dan seleksi artikel adalah dengan menggunakan metode Preferred Reporting Items for Systematic Reviews and Meta-analyse (PRISMA) dan analisis menggunakan STATA sehinga mendapat gambaran forest plot. Hasil dari analisis ini adalah didapatkan 1.969 artikel dari PubMed dan Google Scholar berdasarkan kata kunci kehamilan, hipertensi, pre eklamasi, eklamsi, dan prematur. Setelah dilakukan penyaringan dan kelayakan berdasarkan kriteria inklusi didapatkan 11 artikel yang bisa dianalisis lanjut dan didapatkan OR gabungan adalah 3,70 (CI. 2,80 – 4,60). Kesimpulan yang ","PeriodicalId":18323,"journal":{"name":"Media Penelitian dan Pengembangan Kesehatan","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81823821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gambaran Gangguan Fungsi Ginjal Kasus Baru Penderita Diabetes Melitus, Jantung Koroner, dan Strok pada Studi Kohor di Bogor Indonesia","authors":"Woro Riyadina, E. Rahajeng, Srilaning Driyah","doi":"10.22435/MPK.V30I4.3231","DOIUrl":"https://doi.org/10.22435/MPK.V30I4.3231","url":null,"abstract":"One of the adverse effect of prolonged patients with diabetes mellitus (DM), coronary heart disease (CHD), and stroke was the emerge of chronic kidney disease (CKD) and it would be burden of the economic. The prognosis of CKD in new cases of DM, CHD, and stroke during followed up in Cohort Study Noncommunicable Disease Risk Factor in Bogor was not yet known. Aim to study was to obtain to CKD profile in DM, CHD, stroke, and comorbid incidences during Cohort Study Noncommunicable Disease Risk Factor. This article has been result of cross sectional further analysis of secondary data on 370 new cases of DM, CHD, and stroke that who were examined for blood creatinine levels and calculated eGFR on 2018 and 2019. DM was diagnosed from fasting glucose ≥126 mg/dl or post prandial glucose ≥200mg/dl. CHD was diagnosed by ECG examination and validated by cardiologist and stroke was diagnosed by anamnesis by a neurologist. The main variable is eGFR as an indicator of CKD which is the result of CKP-epi calculation based on creatinine levels in the blood. Other variables are age, sex, type of disease (DM, CHD, and stroke). Data were analyzed using chi-square test. The results showed that average age patients with CKD on new cases of DM, CHD, stroke, and comorbid in Bogor were 48.2 ± 8.6 years old. Proportions CKD on new cases of DM, CHD, strok and comorbid were 59.5%, 56.7%, 66.7% and 50.0%. CKD was higher in older woman than others. The prevalence of CKD was found very high in subjects with stroke, DM, CHD, and comorbid. So, it is necessary to prevent complications by early diagnosis of NCD with regular monitoring of kidney function by creatinine level test and avoid using drugs that caused kidney damage. \u0000Abstrak \u0000Salah satu komplikasi buruk dari penderita diabetes melitus (DM), penyakit jantung koroner (PJK), dan strok yang berkepanjangan adalah munculnya gangguan fungsi ginjal dan akan membebani ekonomi bagi penderitanya. Gambaran prognosis gangguan fungsi ginjal pada insiden DM, PJK, dan strok selama pemantauan Studi Kohor Faktor Risiko PTM (FRPTM) Bogor belum diketahui. Tujuan penelitian untuk mendapatkan gambaran gangguan fungsi ginjal pada kasus baru DM, PJK, dan strok yang muncul selama pemantauan Studi Kohor FRPTM. Artikel ini merupakan hasil analisis lanjut secara potong lintang dari data sekunder kasus baru (insiden) DM, PJK, dan strok pada Studi Kohor FRPTM sebanyak 370 subjek yang diperiksa kadar kreatinin darah dan dihitung eLFG pada tahun 2018 dan 2019. DM didiagnosis dari kadar gula darah puasa ≥126 mg/dl atau post prandial ≥200mg/dl. PJK dari hasil pemeriksaan EKG dan validasi dokter spesialis jantung dan strok hasil anamnesis oleh spesialis saraf dan sudah mengalami rawat jalan. Variabel utama adalah eLFG merupakan indikator terjadinya gangguan fungsi ginjal yang merupakan hasil hitung kadar kreatinin dalam darah dengan CKD-epi. Variabel lain adalah umur, jenis kelamin, jenis penyakit (DM, PJK, dan strok). Data dianalisis dengan uji chi-squar","PeriodicalId":18323,"journal":{"name":"Media Penelitian dan Pengembangan Kesehatan","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81685137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hubungan Dukungan Sosial dan Keterpaparan Media Sosial terhadap Perilaku Pencegahan COVID-19 pada Komunitas Wilayah Jabodetabek Tahun 2020","authors":"Nurul Fadhillah Kundari, Wardah Hanifah, Gita Aprilla Azzahra, Nadzira Risalati Qoryatul Islam, Hoirun Nisa","doi":"10.22435/MPK.V30I4.3463","DOIUrl":"https://doi.org/10.22435/MPK.V30I4.3463","url":null,"abstract":"Coronavirus disease 2019 (COVID-19) is an infectious disease caused by the SARS-CoV-2 virus and is able to spread rapidly in humans. Preventive behavior is important for every individual to maintain their health during the COVID-19 pandemic. This study aims to determine the relationship between social support (family, friends, health workers), perceptions of the response to COVID-19, and exposure to social media for COVID-19 prevention behavior. This cross-sectional study was conducted in the Jabodetabek area in May 2020 with a voluntary sampling technique. The participants were 424 respondents. The proportion of respondents with good COVID-19 prevention behavior was 45.2%. The results of the multivariate analysis showed family support (OR = 2.736; 95% CI = 1.654 - 4.517), peer support (OR = 2.035; 95% CI = 1.205 - 3,436), support from health professionals (OR = 1.729; 95% CI = 1.023 - 2,923); and sources of information regarding COVID-19 (OR = 1,692; 95% CI = 1,036 - 2,764) had a significant relationship with COVID-19 prevention behavior (P <0.05). It can be concluded that family support has dominant influence on COVID-19 prevention behavior in Jabodetabek community. For this reason, social support from the smallest scale (family) and reliable sources of information related to COVID-19 are needed so that community can implement COVID-19 prevention behavior properly in daily life. \u0000Abstrak \u0000Coronavirus disease 2019 (COVID-19) merupakan penyakit menular yang disebabkan oleh virus SARS- CoV-2 dan mampu menyebar dengan cepat pada manusia. Perilaku pencegahan penting dilakukan oleh setiap individu demi menjaga kesehatannya di masa pandemi COVID-19. Penelitian ini bertujuan untuk mengetahui hubungan dukungan sosial (keluarga, teman, dan tenaga kesehatan), persepsi penanggulangan COVID-19, dan keterpaparan terhadap media sosial terhadap perilaku pencegahan COVID-19. Penelitian cross-sectional dilakukan pada bulan Mei 2020 di wilayah Jabodetabek dengan teknik voluntary sampling. Responden berjumlah 424 responden. Proporsi responden dengan perilaku pencegahan COVID-19 yang baik sebesar 45,2%. Hasil analisis multivariat menunjukkan dukungan keluarga (OR= 2,736; CI 95%= 1,654 - 4,517), dukungan teman (OR=2,035; CI 95%= 1,205 - 3,436), dukungan tenaga kesehatan (OR=1,729; CI 95%= 1,023 - 2,923); dan sumber informasi mengenai COVID-19 (OR= 1,692; CI 95%= 1,036 - 2,764) memiliki hubungan yang signifikan terhadap perilaku pencegahan COVID-19 (P<0,05). Dapat disimpulkan bahwa dukungan keluarga memiliki pengaruh dominan terhadap perilaku pencegahan COVID-19 pada masyarakat Jabodetabek. Oleh karena itu, dukungan sosial dari skala terkecil (keluarga) dan sumber informasi terpercaya sangat dibutuhkan agar masyarakat mampu menerapkan perilaku pencegahan COVID-19 dengan baik dalam kehidupan sehari-hari.","PeriodicalId":18323,"journal":{"name":"Media Penelitian dan Pengembangan Kesehatan","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87305171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tantangan Implementasi Konvergensi pada Program Pencegahan Stunting di Kabupaten Prioritas","authors":"Yurista Permanasari, M. Permana, Joko Pambudi, Bunga Christitha Rosha, M. Susilawati, E. Rahajeng, Agus Triwinarto, Rachmalina S Prasodjo","doi":"10.22435/MPK.V30I4.3586","DOIUrl":"https://doi.org/10.22435/MPK.V30I4.3586","url":null,"abstract":"Stunting is one of the nutritional problems faced in the world, including Indonesia. To overcome this problem, the government conducted a program to accelerate stunting prevention in 100 priority districts / cities through specific and sensitive nutrition interventions including health and non-health stakeholders. Interventions are carried out in a convergent manner by aligning various resources to achieve the goal of preventing stunting.The convergence is carried out from the planning, budgeting, implementation, to monitoring stages. The purpose of this study is to analyse the challenges of implementing the convergence of stunting prevention programs that have been running since 2018 by local governments in priority districts / cities based on content, context, process, and actors. The research method is operational research with a research design using a qualitative approach design with in-depth interviews in 13 priority districts/cities. The health policy triangle framework is used as an approach in analyzing the results of this study which consists of content, context, process, and actors. In-depth interview sources are policy makers and program managers to accelerate stunting reduction from province to sub-district and village. The results showed that the challenge in implementing convergence was the existence of sectoral egos in each OPD (stakeholders) because of the socialization was not yet optimal so that many stakeholders did not fully understand the stunting prevention program. Information that was late in being obtained, information cut off from socialization, and difficult demographic conditions in the area where one of the causes in certain areas of the obstruction of socialization. The implementation of convergence that has not been optimal is also due to the ansence operational and technical guidelines for implementing program when the research was conducted so that the regions do not know the steps to carry out these activities. \u0000Abstrak \u0000Masalah anak pendek (stunting) merupakan salah satu permasalahan gizi yang dihadapi di dunia, termasuk Indonesia. Untuk mengatasi permasalahan stunting, pemerintah melakukan program percepatan penanggulangan stunting di 100 kabupaten kota prioritas yang melibatkan sektor kesehatan dan non kesehatan melalui intervensi gizi spesifik dan sensitif. Penyelenggaraan intervensi dilakukan secara konvergen dengan menyelaraskan berbagai sumber daya untuk mencapai tujuan pencegahan stunting. Konvergensi dilakukan mulai dari tahap perencanaan, penganggaran, pelaksanaan, sampai monitoring. Tujuan penelitian ini adalah menganalisis tantangan implementasi konvergensi program pencegahan stunting yang telah berjalan sejak tahun 2018 oleh pemerintah daerah pada Kabupaten prioritas berdasarkan konten, konteks, proses, dan aktor. Metode penelitian merupakan operational research dengan desain penelitian menggunakan pendekatan kualitatif dengan metode wawancara mendalam di 13 kabupaten prioritas. Kerangka segitiga ke","PeriodicalId":18323,"journal":{"name":"Media Penelitian dan Pengembangan Kesehatan","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76775519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analisis Kesiapsiagaan Kasus Kecelakaan Lalu Lintas di Sekolah, Puskesmas, dan Kepolisian Kota Surabaya","authors":"C. Nisa","doi":"10.22435/MPK.V30I4.3233","DOIUrl":"https://doi.org/10.22435/MPK.V30I4.3233","url":null,"abstract":"Traffic accidents include non-natural disasters (Law of the Republic of Indonesia Number 24 of 2007 concering Disaster Management) that must be addressed immediately so as not to cause negative impacts and can affect the degree of public health. Surabaya city one of the metropolitan cities that is used as a pilot in East Java, although the traffic conditions in Surabaya are still classified as accidentsprone and traffic accidents often occur. The purpose of this study was to analyze the preparedness of traffic accident cases in Schools, Health Centers, and Surabaya City Police. This research is an observasional descriptive study with a cross sectional design. The time of this research was conduted in Desember 2018. The unit of analysis in this study was 91 students of State Senior High School 9 Surabaya, 6 health workers (doctors and nurses) at the Ketabang Health Center and 8 Policemen Section Dikyasa Surabaya Police Traffic Unit. Sampling in this study using non probability sampling with purposive sampling. The data collected is primary data in the form of interviews by giving questionnaires and secondary data. The results showed the level of preparedness of State Senior High School 9 Surabaya to traffic accidents was not ready (20%), whereas the level of preparedness of State Senior High School 9 Surabaya students was almost ready (60%). The level of preparedness of Ketabang Health Center health personnel and the Surabaya City Police showed a good level of preparedness (100%) while the preparedness level of Ketabang Health Center (87.5%) and Surabaya City Police (82%) was also good. To reduce the number of traffic accidents in the city of Surabaya, it requires strong coordination between schools, health centers and the police related to traffic accident preparedness to the distribution or financial assistance in the Save Our Student (SOS) program launched by the Surabaya City Police. \u0000Abstrak \u0000Kecelakaan lalu lintas termasuk bencana non alam (UU RI No. 24 Tahun 2007 tentang Penanggulangan Bencana) yang harus segera ditanggulangi agar tidak menimbulkan dampak negatif dan dapat memengaruhi derajat kesehatan masyarakat. Kota Surabaya merupakan salah satu kota metropolitan yang dijadikan percontohan di Jawa Timur meskipun kondisi lalu lintas di Kota Surabaya masih tergolong rawan kecelakaan dan sering terjadi kecelakaan lalu lintas. Tujuan penelitian ini adalah untuk menganalisis kesiapsiagaan kasus kecelakaan lalu lintas di sekolah, puskesmas dan kepolisian Kota Surabaya. Penelitian ini merupakan penelitian observasional deskriptif dengan rancangan cross sectional. Waktu penelitian ini dilakukan pada bulan Desember 2018. Unit analisis dalam penelitian ini adalah 91 siswa/siswi Sekolah Menengah Atas Negeri (SMAN) 9 Surabaya, 6 tenaga kesehatan (dokter dan perawat) Puskesmas Ketabang, dan 8 polisi bagian Dikyasa Unit Satlantas Polrestabes Surabaya. Pengambilan sampel dalam penelitian ini menggunakan non probablity sampling dengan purposive sampling","PeriodicalId":18323,"journal":{"name":"Media Penelitian dan Pengembangan Kesehatan","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80110762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Faktor yang Memengaruhi Dukungan Suami terhadap Pemberian ASI Eksklusif Berdasarkan Theory of Planned Behavior (TPB)","authors":"Fenti Yulianti, F. Rinawan, P. Hadisoemarto","doi":"10.22435/MPK.V30I4.3393","DOIUrl":"https://doi.org/10.22435/MPK.V30I4.3393","url":null,"abstract":"The coverage of exclusive breastfeeding has not yet reached the target both in Indonesia and other countries. One of the factors that influence husband’s support. Husband’s support for exclusive breastfeeding will be influenced by his intention. A person’s planned behavior or intentions can be predicted through their attitudes as described in Theory of Planned Behavior (TPB), which states that a person’s intention is influenced by behavior belief, outcome evaluation and perceived power. The research aims was to analyze which factors most influenced husband’s support for exclusive breastfeeding based on TPB. The study is a quantitative research using survey method. The sampling technique used multistage sampling to get respondents as many as 90 husbands who have babies aged 0-6 months in Bandung. The instrument used the Partner Breastfeeding Influence Scale (PBIS) and the TPB questionnaire, while the statistical analysis used the Multiple Linear Regression Test. The results of the analysis showed that the husband’s support for exclusive breastfeeding can be categorized as sufficient. Whereas the factors that most influenced the husband’s support for exclusive breastfeeding based on TPB were behavior beliefs (β = 1.8; p = 0.01). These results provide information that a health promotion program design is needed to improve attitudes and support for husband in exclusive breastfeeding. \u0000Abstrak \u0000Cakupan pemberian Air Susu Ibu (ASI) eksklusif masih belum mencapai target baik di Indonesia maupun di negara lain. Salah satu faktor yang memengaruhinya adalah dukungan suami. Dukungan suami terhadap pemberian ASI eksklusif akan dipengaruhi oleh intensinya. Perilaku terencana atau intensi seseorang dapat diprediksi melalui sikap yang dimilikinya seperti yang dijelaskan dalam Theory of Planned Behavior (TPB) bahwa intensi seseorang dipengaruhi oleh behavior belief, outcome evaluation dan perceive power. Tujuan penelitian yaitu untuk menganalisis faktor mana yang paling memengaruhi dukungan suami terhadap pemberian ASI eksklusif berdasarkan TPB. Penelitian ini merupakan penelitian kuantitatif dengan metode survei. Teknis pengambilan sampel menggunakan multistage sampling untuk mendapatkan responden sebanyak 90 orang suami yang memiliki bayi usia 0-6 bulan di Kota Bandung. Instrumen penelitian menggunakan Partner Breastfeeding Influence Scale (PBIS) dan kuesioner TPB sedangkan analisis statistik menggunakan uji regresi linear berganda. Hasil analisis diperoleh besar dukungan suami terhadap pemberian ASI eksklusif dapat dikategorikan cukup, sedangkan faktor yang paling memengaruhi dukungan suami terhadap pemberian ASI eksklusif berdasarkan TPB adalah behavior beliefs (β=1,8; p=0,01). Hasil ini memberikan informasi bahwa diperlukan suatu rancangan program promosi kesehatan untuk meningkatkan sikap serta dukungan suami dalam pemberian ASI eksklusif. \u0000 ","PeriodicalId":18323,"journal":{"name":"Media Penelitian dan Pengembangan Kesehatan","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78260807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Korelasi Hemoglobin A1c dengan Hemoglobin dan Laju Filtrasi Glomerulus Penderita Diabetes dengan dan tanpa Komplikasi Gagal Ginjal Kronik di Bogor","authors":"Srilaning Driyah, J. Pradono","doi":"10.22435/MPK.V30I4.3174","DOIUrl":"https://doi.org/10.22435/MPK.V30I4.3174","url":null,"abstract":"Diabetes mellitus type 2 (T2DM) is a chronic disease and can cause complications, one of which is decreased kidney function. Anemia is a complication of T2DM, especially if it is accompanied by renal disorders. The aim of this study was to show the relationship between HbA1c and hemoglobin (Hb), hematocrit (HCT), creatinine, and glomerular filtration rate (GFR) in T2DM respondents with and without complications of chronic renal failure (CRF). This study used a subset of the Non-Communicable Diseases cohort data set by the Center for Public Health Efforts in Central Bogor sub-district, Bogor City. The research design was an analytic observational study. Respondents were all T2DM with complete data as much as 303 people. The respondents diagnosed based on the results of previous blood sugar tests. The inclusion criteria were people with T2DM who had complete data (HBA1c, Hb, HCT, and creatinine). Bivariate analysis between the dependent variable (T2DM with or without CRF) and the independent variable (HbA1c, Hb, HCT, creatinine, and LFG) used the Spearman correlation. The results showed a strong positive correlation between HbA1c and Hb (r = 0,66, p<0,05) and HCT (r = 0,67, p<0,05)in T2DM respondents with CRF, but there is no correlation between HbA1c and creatinine and LFG. In T2DM without CRF there is a weak positive correlation between HbA1c and Hb (r = 0,26, p<0,05) and HCT (r = 0,21, p<0,05), a negative correlation between HbA1c and creatinine (r = -0,29, p<0,05), and there is a weak positive correlation between HbA1c and LFG (r = 0,24, p<0,05 ). The conclusion is that controlling blood sugar by examining HbA1c levels shows a strong positive correlation with Hb levels and HCT in T2DM with CRF and a weak negative correlation with LFG in T2DM without CRF. This difference is not in accordance with the existing theory \u0000Abstrak  \u0000Diabetes melitus tipe 2 (DMT2) merupakan penyakit kronik dan dapat menimbulkan komplikasi, salah satunya adalah penurunan fungsi ginjal. Anemia merupakan komplikasi DMT2 khususnya jika disertai gangguan renal. Tujuan penelitian ini menunjukkan hubungan hemoglobin A1c (HbA1c) dengan hemoglobin (Hb), hematokrit (HCT), kreatinin, dan laju filtrasi glomerulus (LFG) pada responden DMT2 dengan dan tanpa komplikasi gagal ginjal kronik (GGK). Penelitian ini menggunakan subset data kohor penyakit tidak menular (PTM) yang dilakukan oleh Puslitbang Upaya Kesehatan Masyarakat di Kecamatan Bogor Tengah, Kota Bogor. Desain penelitian adalah studi observasional analitik. Responden adalah semua penderita DMT2 dengan data lengkap sebanyak 303 orang yang didiagnosis berdasarkan hasil pemeriksaan gula darah sebelumnya. Kriteria inklusi adalah penderita DMT2 yang memiliki data lengkap (HbA1c, Hb, HCT, dan kreatinin). Analisis bivariat antara variabel dependen (DMT2 dengan atau tanpa GGK) dengan variabel independen (HbA1c, Hb, HCT, kreatinin dan LFG) mengunakan korelasi Spearman. Hasil penelitian menunjukkan pada responden DMT2 dengan GGK terd","PeriodicalId":18323,"journal":{"name":"Media Penelitian dan Pengembangan Kesehatan","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80672126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validasi Proses Produksi Dektrosa Monohidrat (DMH) Farmasi pada Skala Pilot","authors":"S. M. Suharno, Didik Sudarsono, Eriawan Rismana, Indrawati Dian Utami, Lely Khojayanti, Bambang Srijanto, Ayustian Futu Wijaya","doi":"10.22435/MPK.V30I4.3076","DOIUrl":"https://doi.org/10.22435/MPK.V30I4.3076","url":null,"abstract":"Armaceutical dextrose monohydrate (DMH) as one of the raw materials for drugs which is widely used in the manufacture of infusions and drug preparations, including BBO, which is entirely still imported. To achieve the independence of national pharmaceutical raw materials, it is important to study and develop the DMH pharmaceutical production process technology in Indonesia. In this research, the validation of the DMH pharmaceutical production process using food quality liquid glucose raw materials on a pilot-scale of 5 - 6 kg/product was carried out. The validation process has been carried out three times in all stages of the process, namely saccharification, carbon purification, resin purification, evaporation, crystallization, centrifugation, and drying. Several test parameters have been established at each stage of the process so that the repeatability of the production process and the quality of pharmaceutical DMH can be achieved. The results showed that each stage of the process played a role in improving the quality of dextrose. Product yield and weight loss of dextrose in the whole process were 50–52% and 9–10%, respectively. The results of testing the levels of dextrose (dextrose equivalent/DE), endotoxin content, pyrogen-free tests, and other parameters that have been carried out on pharmaceutical DMH products have met the quality requirements according to the Indonesian Pharmacopoeia Edition V. In conclusion, the validation results show that the bench-scale pharmaceutical DMH production process technology is developed to produce pharmaceutical DMH products with process repeatability and good quality. \u0000Abstrak \u0000Dekstrosa Monohidrat (DMH) farmasi merupakan bahan baku obat (BBO) yang banyak digunakan pada pembuatan infus dan sediaan obat serta termasuk salah satu BBO yang seluruhnya masih dimpor. Untuk mencapai kemandirian bahan baku farmasi nasional, maka pengkajian dan pengembangan teknologi proses produksi DMH farmasi menjadi penting untuk dilakukan di Indonesia. Dalam penelitian ini telah dilakukan validasi proses produksi DMH farmasi menggunakan bahan baku glukosa cair kualitas pangan pada skala pilot 5–6 kg produk/bets. Proses validasi telah dilakukan sebanyak tiga kali ulangan pada seluruh tahapan proses yaitu sakarifikasi, pemurnian dengan karbon, pemurnian dengan resin, evaporasi, kristalisasi, sentrifugasi, dan pengeringan. Beberapa parameter uji telah ditetapkan pada setiap tahapan proses agar keterulangan proses produksi dan kualitas DMH farmasi dapat tercapai. Hasil penelitian menunjukkan bahwa setiap tahapan proses berperan dalam peningkatan kualitas dekstrosa. Rendemen produk dan kehilangan berat dekstrosa pada keseluruhan proses masing-masing adalah 50–52% dan 9–10%. Hasil pengujian kadar dekstrosa (dekstrosa ekivalen/DE), kandungan endotoksin, uji bebas pirogen, dan parameter lain yang telah dilakukan terhadap produk DMH farmasi adalah sudah memenuhi persyaratan kualitas sesuai Farmakope Indonesia Edisi VI. Disimpulkan, ha","PeriodicalId":18323,"journal":{"name":"Media Penelitian dan Pengembangan Kesehatan","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77984227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Informasi Terkini Anopheles barbirostris dan Potensi Penularan Malaria pada Beberapa Provinsi di Indonesia","authors":"Riyani Setiyaningsih, Mega Tyas Prihatin, Mujiyono Mujiyono, B. Lasmiati, Marjiyanto Marjiyanto, Dwi Susilo, Dhian Prastowo, Arum Trias Wardani, Sri Wahyuni, Sidiq Setyo Nugroho, Triwibowo Ambar Garjito","doi":"10.22435/MPK.V30I2.3240","DOIUrl":"https://doi.org/10.22435/MPK.V30I2.3240","url":null,"abstract":"Abstract \u0000Anopheles barbirostris (An. barbirostris) is a malaria vector in several provinces in Indonesia. Bionomics An. barbirostris vary from region to region. The difference between bionomic and mosquito behavior affects the potential of An. barbirostris as a vector of malaria. The latest information about An. barbirostris is needed to determine the potential for malaria transmission in several provinces in Indonesia. The aim of the research was to get the latest information on An. barbirostris and the potential for malaria transmission in several provinces in Indonesia. Mosquitoes catching was carried out in several provinces in Indonesia using the human landing collection method, catching around livestocks, animal bited traps, light traps and morning resting. Larvae surveys were conducted in a place that had the potential for breeding ground place for An. barbirostris. Analysis of the presence of Plasmodium in An. barbirostris was performed using PCR. The examination results showed that An. barbirostris positive Plasmodium in South Sulawesi and Central Kalimantan. An. barbirostris’s behavior tended to be found to suck blood outside the home and some had been known to suck blood from people indoors. Fluctuation and density of An.barbirostris in April and June varied in the Provinces of West Papua, Central Kalimantan, North Kalimantan, South Sulawesi, Bali, Spesial Region of Yogyakarta (DIY), DKI Jakarta, Riau, Jambi, and Riau Islands. In general, An. barbirostris were known to suck the blood of people and animals with different percentages in each province. The breeding ground for An. barbirostris were found in rice fields, ponds, ditchesm and rivers. The potential for malaria transmission to be transmitted by An. barbirostris can occur in the provinces of South Sulawesi and Central Kalimantan. \u0000Abstrak \u0000Anopheles barbirostris (An. barbirostris) merupakan salah satu vektor malaria di beberapa provinsi di Indonesia. Bionomik An. barbirostris berbeda-beda di setiap wilayah. Perbedaan bionomik dan perilaku nyamuk berpengaruh terhadap potensi An. barbirostris sebagai vektor malaria. Informasi terkini tentang An. barbirostris sangat diperlukan untuk mengetahui potensi penularan malaria di beberapa provinsi di Indonesia. Tujuan penelitian adalah mendapatkan informasi terkini An. barbirostris dan potensi penularan malaria di beberapa provinsi di Indonesia. Penangkapan nyamuk dilakukan di beberapa provinsi di Indonesia menggunakan metode human landing collection, penangkapan di sekitar ternak, animal bited trap, light trap, dan resting morning. Survei jentik dilakukan di tempat yang berpotensi sebagai tempat perkembangbiakan An. barbirostris. Analisis keberadaan Plasmodium pada An. barbirostris dilakukan dengan menggunakan PCR. Hasil pemeriksaan menunjukkan bahwa An. barbirostris positif Plasmodium di Sulawesi Selatan dan Kalimantan Tengah. Perilaku An. barbirostris cenderung ditemukan menghisap darah di luar rumah dan sebagian diketahui menghisap da","PeriodicalId":18323,"journal":{"name":"Media Penelitian dan Pengembangan Kesehatan","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2020-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83085788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}