Mira Triharini

Bio: Mira Triharini is an academic researcher from Airlangga University. The author has contributed to research in topics: Medicine & Population. The author has an hindex of 3, co-authored 28 publications receiving 38 citations.

Effect of educational intervention on family support for pregnant women in preventing anemia

Abstract: Background: Anemia during pregnancy is a major nutritional problem that can cause health problems for mothers and their fetus. Prevention of anemia has been done but many obstacles are perceived by pregnant women. Families need to provide support to improve the prevention behavior of anemia. Objective : This research aims to explore the effect of educational intervention on family support for pregnant women in preventing anemia. Methods : A quasi-experimental design was carried out on 60 pregnant women who had done pregnancy check ups at Community Health Centre and had received iron supplement, in which 30 women were in the experimental group and the rests were in the control group. This study was conducted from December 2016 to January 2017. Family support was measured using questionnaires before and after educational intervention. Results: After educational intervention, there was a significant change from the pretest score to the posttest score in the experimental group (p<0.05). There was an increase in the average score in the experimental group, 14.47 ± 2.89 becomes 16.83 ± 2.32. Conclusion: Educational interventions can increase family support for maternal behavior in preventing pregnancy anemia such as improving adherence to taking iron supplements and high intake of food containing iron.

Pemberdayaan perempuan melakukan deteksi dini kanker serviks melalui pelatihan metode reproductive organ self examination (rose) sebagai upaya deteksi dini penyakit kanker serviks

Abstract: Pendahuluan: Angka kejadian kanker serviks yang masih cukup tinggi dipengaruhi oleh perilaku deteksi dini yang masih rendah. Beberapa puskesmas di kota Surabaya telah memiliki program pemeriksaan IVA tes, namun capaian masih rendah karena motivasi ibu untuk melakukan deteksi dini masih kurang. Metode: Reproductive Organ Self Examination (ROSE) merupakan metode sederhana yang dapat dilakukan oleh para ibu sendiri untuk melakukan mengetahui adanya masalah di organ reproduksinya. Pendidikan kesehatan perlu dilakukan untuk meningkatkan pengetahuan dan sikap ibu tentang kanker serviks. Kegiatan pengabdian pada masyarakat ini memiliki tujuan untuk meningkatkan perilaku ibu di wilayah kerja Puskesmas Mulyorejo dalam melakukan deteksi dini kanker serviks melalui metode IVA serta teknik ROSE. Metode pelaksanaan adalah dengan penyuluhan materi kanker serviks dan ROSE, dan dilanjutkan dengan tanya jawab dengan peserta. Kegiatan pemeriksaan IVA tes juga dilakukan langsung setelah pelaksanaan penyuluhan.. Hasil: Hasil yang didapatkan dari kegiatan pengabdian masyarakat ini adalah peningkatan pengetahuan dan sikap ibu dalam melakukan deteksi dini kanker serviks. Beberapa ibu bersedia untuk melakukan pemeriksaan IVA tes menunjukkan bahwa adanya peningkatan motivasi setelah pelaksanaan kegiatan penyuluhan. Kesimpulan: pelatihan deteksi dini kanker serviks melalui metode ROSE dapat meningkatkan kesadaran masyarakat dalam melakukan deteksi dini dalam upaya mengendalikan kanker serviks. Setelah pelaksanaan pengabdian masyarakat ini diharapkan ibu akan tetap rutin melakukan deteksi dini dengan didukung peran aktif kader dan tenaga kesehatan.

Perceived Benefits and Intakes of Protein, Vitamin C and Iron in Preventing Anemia among Pregnant Women

Abstract: Introduction: Nutritional adequacy is essential in ensuring the normal growth and development of the fetus. Perceived benefits will be able to strengthen pregnant women to meet optimum nutritional intake to prevent anemia. Adequacy of protein, vitamin C and iron will reduce the risk of iron deficiency anemia in pregnancy. This study aims to examine the association between perceived benefits with protein, vitamin C, and iron intake in preventing pregnancy anemia. Methods : This study used a cross-sectional design and was conducted in August-October 2017 among105 pregnant women. This study used the multistage random sampling method. The population of this study was pregnant women who had antenatal care in four Community Health Centre in Surabaya namely Jagir, MedokanAyu, SidotopoWetan, and Gundih. Results: The average daily protein intake was 76.34 (SD = 35.88) gram/day. There was a significant association between perceived benefits with protein intake (r = 0.272; p = 0.005). The average daily vitamin C intake was 90.67 (SD = 116.54) mg/day. There was no significant association between perceived benefits and vitamin C intake (r = 0.175; p = 0.074). The average daily iron intake was 64.73 (SD = 23.13) mg/day. There was a significant association between perceived benefits and iron intake (r = 0.219; p = 0.025). Conclusion: The knowledge of pregnant women about the benefits of nutrition will affect the adequacy of pregnancy nutrition. Health workers need to provide health education on the importance of nutrition for pregnant women to prevent anemia during pregnancy.

Pemberdayaan kader posyandu dalam promosi keluarga berencana dan kontrasepsi

Abstract: One of the efforts to empower the community in the health sector is to develop Posyandu. The role of posyandu cadres in the promotion of family planning and contraception programs in couples of childbearing age is still limited. This activity aims to improve the ability of cadres in promoting family planning and contraception. The activity was carried out for 4 weeks in the Bringkang village area, Menganti District, Gresik Regency, namely on 3-28 July 2018. The method of activities was in the form of socialization, posyandu cadre training with lectures, questions and answers, discussions (CTJD), and assistance in the implementation of posyandu. Average knowledge (x = 9.2) in the good category and cadre attitude (x = 13.1) in the positive category in the promotion of family planning and contraception. It is important to empower Posyandu cadres in health promotion, especially family planning and contraception in the community. Abstrak Salah satu upaya pemberdayaan masyarakat di bidang kesehatan adalah menumbuhkembangkan posyandu. Peran kader posyandu dalam promosi program keluarga berencana dan kontrasepsi pada pasangan usia subur masih terbatas. Kegiatan ini bertujuan meningkatkan kemampuan kader dalam mempromosikan keluarga berencana dan kontrasepsi. Kegiatan dilaksanakan selama 4 minggu di wilayah desa Bringkang Kecamatan Menganti Kabupaten Gresik yaitu pada tanggal 3-28 Juli 2018. Metode kegiatan berupa sosialisasi, pelatihan kader posyandu dengan ceramah, tanya jawab, diskusi (CTJD), dan pendampingan pada pelaksanaan posyandu. Rerata pengetahuan (x=9,2 ) dalam kategori baik dan sikap kader (x=13,1 ) kategori positif dalam promosi KB dan kontrasepsi. Penting memberdayakan kader posyandu dalam promosi kesehatan khususnya KB dan kontrasepsi di masyarakat.

Perceived barriers to treatment predict adherence to aromatase inhibitors among breast cancer survivors.

Abstract: BACKGROUND Although poor adherence to hormonal therapies such as aromatase inhibitors (AIs) is widely documented, to the authors' knowledge less is known regarding whether health beliefs predict treatment nonadherence. The objective of the current study was to evaluate the relationship between health beliefs (perceived susceptibility to breast cancer, perceived benefits of AI treatment, and perceived barriers to AI treatment) and adherence to AIs. METHODS Postmenopausal women with early-stage, estrogen receptor-positive breast cancer who were currently receiving treatment with an AI completed the 3-factor Health Beliefs and Medication Adherence in Breast Cancer scale and questionnaires concerning their demographics and symptoms. Adherence data (treatment gaps and premature discontinuation) were abstracted from participants' medical charts. Logistic regression analyses were conducted to evaluate the relationship between health beliefs and adherence. RESULTS Among 437 participants, 93 (21.3%) were nonadherent. Those who perceived greater barriers to their AI treatment were more likely to demonstrate AI nonadherence behaviors by the end of their treatment period compared with those who reported fewer barriers to AI therapy (adjusted odds ratio, 1.71; 95% confidence interval, 1.03-2.86 [P = .04]). In contrast, perceived susceptibility to cancer recurrence and perceived benefits of AIs did not appear to predict AI adherence. Minority individuals were found to have lower perceived susceptibility to breast cancer recurrence and higher perceived barriers to AI treatment (P<.05 for both). Conclusions Greater perceived barriers appeared to predict nonadherence to AIs. Interventions addressing women's negative beliefs regarding the challenges of AI treatment are needed to help optimize adherence in survivors of breast cancer. Cancer 2016. © 2016 American Cancer Society.

Effect of Integrated Pictorial Handbook Education and Counseling on Improving Anemia Status, Knowledge, Food Intake, and Iron Tablet Compliance Among Anemic Pregnant Women in Indonesia: A Quasi-Experimental Study.

Abstract: Purpose To determine the effect of individual education through a pictorial handbook on anemia in conjunction with counseling on improving hemoglobin and hematocrit level, birth weight, knowledge, iron-rich food and iron-folic acid (IFA) intake. Patients and Methods The study developed a pictorial handbook that was conceptualized based on the Health Belief Model and adjusted to some cultural and local contexts. A quasi-experimental pre-test-post-test control group design was used, purposefully conducted between two homogenous municipalities, each having a rate of anemic pregnancy that was 40% or greater. The sample consists of 140 anemic pregnant women randomly allocated via lottery into two groups; the intervention group (n=70), which received two home visits-one for education and another for a counseling session, and control group (n=70), which received routine antenatal care. A chi-square test and a Mann-Whitney U-test were conducted to compare the baseline socio-demographics. An analysis of covariance (ANCOVA), controlling some possible confounders, was performed to analyze the effect of intervention. Results The post-test means of hemoglobin F (1, 132) = 122, p-value <0.001, and hematocrit levels F (1, 132) = 373, p-value <0.001, were significantly different and higher in the intervention group compared to the control group. Similar results were found in knowledge, food frequency score, number of IFA intake (with p-value <0.001), birth weight and daily iron intake from food (with p-value <0.05). The intervention had a particularly large effect on food frequency score and number of IFA intake, and medium effect on hemoglobin and hematocrit levels. Conclusion Individual education through a pictorial handbook on anemia in conjunction with the counseling intervention program had a positive impact on hemoglobin and hematocrit levels for anemic pregnant women in their third trimester of pregnancy.

Standar kuantitas antenatal care dan sosial budaya dengan risiko anemia pada kehamilan

Abstract: Background: There was an increase of anemia in pregnant women and maternal death due to obstetric hemorrhage with hemoglobin (Hb) levels during pregnancy <10 gr/dl in Indragiri Hilir District, Riau Province. Objective: This study aimed to analyze the association between standard of antenatal care (ANC) and socio-cultural factors and the risk of anemia during pregnancy. Methods: A cross-sectional design was used in this study. This study included 172 pregnant women in the 2nd and 3rd trimesters from the Sungai Piring Public Health Center's working area. Data of Hb level of pregnant women was obtained from the maternal register and the MCH book. Data on the quantity of ANC, socio-cultural, adherence to iron-folic acid tablet consumption, and characteristics of pregnant women were collected through questionnaire interviews. Bivariate and multivariate analyses were conducted by using chi-square test and multiple logistic regressions respectively. Results: As many as 71.5% of pregnant women experienced anemia. Anemia in pregnant women was significantly associated with standard of ANC quantity, sociocultural status, and economic status (p<0.05). Inadequate ANC, poor socio-cultural, and low economic status increased the risk of anemia in pregnant women by 6.6 times, 11.4 times, and 3 times respectively. Conclusion: Standard of ANC quantity, socio-cultural, and economic status were dominant factors for anemia in pregnancy. Home visits or counseling through messaging applications can be carried out by health workers for pregnant mothers who do not attend ANC visits. Keywords: Anemia, antenatal care, pregnancy, socio-culture Abstrak Latar belakang: Terjadi peningkatan kasus anemia ibu hamil dan adanya kasus kematian ibu akibat perdarahan dengan kadar haemoglobin (Hb) darah saat hamil di bawah 10gr/dl di Kabupaten Indragiri Hilir Provinsi Riau. Tujuan: Menganalisis hubungan antara standar antenatal care (ANC) dan sosial budaya dengan risiko anemia pada kehamilan. Metode: Studi ini menggunakan desain cross sectional. Sampel studi yaitu 172 ibu hamil trimester dua dan tiga di wilayah kerja Puskesmas Sungai Piring. Data kadar hemoglobin (Hb) darah ibu hamil diperoleh dari register ibu dan Buku KIA. Data kuantitas ANC, sosial budaya, kepatuhan konsumsi tablet tambah darah, dan karakteristik ibu hamil dikumpulkan melalui wawancara kuesioner. Analisis bivariat dilakukan dengan uji chi square dan multivariat dengan uji regresi logistik ganda. Hasil: Sebanyak 71,5% ibu hamil mengalamani anemia. Kuantitas ANC, sosial budaya, dan status ekonomi berhubungan signifikan dengan anemia pada ibu hamil (p<0,05). Ibu hamil dengan kuantitas ANC tidak sesuai standar, sosial budaya tidak baik, dan status ekonomi rendah berpeluang berturut-turut sebesar 6,6 kali, 11,4 kali, dan 3 kali untuk mengalami anemia. Kesimpulan: Standar kuantitas ANC, sosial budaya, dan status ekonomi merupakan variabel yang dominan terhadap anemia pada kehamilan. Kunjungan rumah atau konseling melalui aplikasi perpesanan dapat dilakukan oleh petugas kesehatan bagi ibu yang tidak melakukan ANC. Kata kunci: Anemia, antenatal care, kehamilan, sosial budaya

Partner support and impact on birth outcomes among teen pregnancies in the United States

Abstract: PURPOSE Despite hypothesized relationships between lack of partner support during a woman's pregnancy and adverse birth outcomes, few studies have examined partner support among teens. We examined a potential proxy measure of partner support and its impact on adverse birth outcomes (low birth weight (LBW), preterm birth (PTB) and pregnancy loss) among women who have had a teenage pregnancy in the United States. METHODS In a secondary data analysis utilizing cross-sectional data from 5609 women who experienced a teen pregnancy from the 2006-2010 National Survey of Family Growth (NSFG), we examined an alternative measure of partner support and its impact on adverse birth outcomes. Bivariate and multivariable logistic regression were used to assess differences in women who were teens at time of conception who had partner support during their pregnancy and those who did not, and their birth outcomes. RESULTS Even after controlling for potential confounding factors, women with a supportive partner were 63% less likely to experience LBW [aOR: 0.37, 95% CI: (0.26-0.54)] and nearly 2 times less likely to have pregnancy loss [aOR: 0.48, 95% CI: (0.32-0.72)] compared to those with no partner support. CONCLUSIONS Having partner support or involvement during a teenager's pregnancy may reduce the likelihood of having a poor birth outcome.