Nurul Hidayah

Bio: Nurul Hidayah is an academic researcher. The author has contributed to research in topics: Massage & Maternal death. The author has an hindex of 2, co-authored 4 publications receiving 15 citations.

Faktor yang berhubungan dengan pemberian imunisasi dasar lengkap pada bayi tahun 2017

Abstract: Immunization aims to provide immunity to the child's body. However, nearly a quarter of the 130 million babies born each year are not immunized. The coverage of complete basic immunization (IDL) in Indonesia in 2016 has not reached the target. The government is targeting 91.5percent of IDL coverage, but until the end of the year only 82.1 percent achieved. There are several factors that cause the mother not to immunize the baby, namely;Limited mom's time, information and lack of family support and vaccine composition. This study aims to determine the factor associated with the provision of complete basic immunization in Posyandu Working Area Umban Sari Pekanbaru. Community Health Center Year 2017. This research type is quantitative crosssectional design. Sampling techniques using accidental Sampling, the population in this study is 1001 people and the sample is 91 people. Data collection using primary data by questionnaire. The analysis used is univariate and bivariate with chi square test. The result of the research shows limitations (Pvalue = 0,001), family support (Pvalue = 0,010), information (Pvalue =0,001), vaccine composition (Pvalue = 0,000). These results indicate that there is a relationship of limitations, family support, information and vaccine composition with complete basic immunization of infants Imunisasi bertujuan untuk memberikan kekebalan terhadap tubuh anak. Tetapi hampir seperempat dari 130 juta bayi yang lahir tiap tahun tidak diimunisasi. Cakupan imunisasi dasar lengkap (IDL) di Indonesia tahun 2016 belum mencapai target. Pemerintah menargetkan cakupan IDL sebesar 91,5 persen, namun hingga akhir tahun hanya 82,1 persen yang berhasil tercapai. Ada beberapa faktor yang menyebabkan ibu tidak memberikan imunisasi pada bayinya, yaitu; keterbatasan waktu ibu, informasi, dukungan keluarga yang kurang serta komposisi vaksin. Penelitian ini bertujuan untuk mengetahui faktor yang berhubungan dengan pemberian imunisasi dasar lengkap di Posyandu Wilayah Kerja Puskesmas Umban Sari Pekanbaru Tahun 2017. Jenis penelitian ini adalah kuantitatif dengan desain cross sectional. Teknik sampling menggunakan accidental sampling, populasi dalam penelitian ini berjumlah 1001 orang dan sampel berjumlah 91 orang. Pengumpulan data menggunakan data primer dengan menggunakan lembar kuesioner. Analisa yang digunakan adalah univariat dan bivariat dengan uji chi square. Hasil penelitian diperoleh keterbatasan waktu (Pvalue =0,001), dukungan keluarga (Pvalue=0,010), Informasi (Pvalue=0,001), komposisi vaksin (Pvalue=0,000). Hasil ini menunjukkan ada hubungan keterbatasan waktu, dukungan keluarga, informasi dan komposisi vaksin terhadap pemberian imunisasi dasar lengkap pada bayi.

Effects of Baby Massage on Weight Gain in Babies: Effects of Baby Massage on Weight Gain in Babies

Abstract: Massage is stimulation of the skin and tissues below it with various levels of hand pressure to reduce pain, make reflexes and improve circulation and have biochemical and psychological effects on the body. Stimulant massage for a term baby can improve the relationship between baby and mother and can increase body weight in baby.But unfortunately there are still many myths in the community, especially in the care of babies who are still believed that babies should not be massaged often, their bodies are still weak or other reasons that have never been verified. Though touching the baby at the beginning of his birth can have a positive influence on the growth of the baby. This study aims tothe effect of baby massage on the increase of baby weight in the work area at pekanbaru payung sekaki primary health center in 2019. This study used a Quasi Experiment design with Cross Sectional research design. Samples taken as many as 20 babies, 10 babies carried out baby massage and 10 other babies were not carried out baby massage. Sampling technique for consecutive sampling. The data collection tool uses checklist sheets, baby massage SOP, and baby scales. Data analysis was used univariate and bivariate, with statistical tests namely non-parental and Mann Whitney tests with the help of SPSS. The results showed that the p-value < 0.05. This means that 0,000<0,05, means that there is the effect of baby massage on the increase in baby massage weight in the work area at ??Payung Sekaki Pekanbaru Health Center in 2019. It is expected that the Payung Sekaki Pekanbaru health center Primary can conduct counseling or do baby massage to the local community

Hubungan Pengetahuan dan Dukungan Suami Terhadap Pemilihan Kontrasepsi Tubektomi

Abstract: Indonesia is still facing the problem of relatively high population growth rate. One way to reduce the population by promoting Family Planning (KB) program. In the Family Planning Program, one of the problems faced today is the low use of the Long Term Contraception Method, which is tubectomy contraception. Based on Indonesia Demographic Health Survey (SDKI) in 2007 tubectomy KB participants only 3%. The choice of contraceptives can be influenced by several factors including husband's knowledge and support. This study aims to determine the relationship of knowledge and support of the husband to Tuberculosis Contraceptive Selection at Puskesmas Sidomulyo Pekanbaru in 2016. This research type is quantitative with cross sectional design. Sampling technique using accidental sampling, the population in this study amounted to 111 people and the sample amounted to 87 people. Data collection using primary data using questionnaire sheet. The analysis used is univariate and bivariate with chi square test. The results obtained Knowledge (Pvalue = 0.021) and husband support (Pvalue = 0,000). These results indicate a relationship of knowledge and support of the husband to tuberculosis contraceptive selection. In the hope for the health center to increase promotion, counseling and health education to improve knowledge of mother and husband about tubectomy contraception. Indonesia masih menghadapi masalah laju pertumbuhan penduduk yang relatif masih tinggi. Salah satu cara untuk menekan jumlah penduduk dengan menggalakkan program Keluarga Berencana (KB). Dalam program KB, salah satu masalah yang dihadapi saat ini adalah masih rendahnya penggunaan Metode Kontrasepsi Jangka Panjang, yaitu kontrasepsi tubektomi. Berdasarkan Survei Demografi Kesehatan Indonesia (SDKI) tahun 2007 peserta KB tubektomi hanya 3% saja. Pemilihan alat kontrasepsi dapat dipengaruhi oleh beberapa faktor antara lain pengetahuan dan dukungan suami. Penelitian ini bertujuan untuk mengetahui hubungan pengetahuan dan dukungan suami terhadap Pemilihan Kontrasepsi tubektomi di Puskesmas Sidomulyo Pekanbaru tahun 2016. Jenis penelitian ini adalah kuantitatif dengan desain cross sectional. Teknik sampling menggunakan accidental sampling, populasi dalam penelitian ini berjumlah 111 orang dan sampel berjumlah 87 orang. Pengumpulan data menggunakan data primer dengan menggunakan lembar kuesioner. Analisa yang digunakan adalah univariat dan bivariat dengan uji chi square. Hasil penelitian diperoleh Pengetahuan (Pvalue =0,021) dan dukungan suami (Pvalue=0,000). Hasil ini menunjukkan ada hubungan pengetahuan dan dukungan suami terhadap pemilihan kontrasepsi tubektomi. Di harapkan bagi pihak Puskesmas untuk meningkatkan promosi, konseling dan penyuluhan kesehatan guna meningkatkan pengetahuan ibu dan suami tentang kontrasepsi tubektomi.

Faktor yang mempengaruhi pemanfaatan kelas ibu hamil tahun 2018

Abstract: Based on the 2015 Intercensal Population Survey, the maternal mortality rate is still high at 305 per 100,000 live births. One of the efforts to prevent maternal death is through antenatal class activities which are group learning facilities for pregnant women to improve maternal knowledge and skills regarding pregnancy, childbirth, postpartum care and newborns. In Indonesia the antenatal class is still weak in its implementation although it is known to be very likely to reduce maternal mortality. This study aims to determine the factors that influence the class utilization of pregnant women in the work area of Puskesmas Lima Puluh Pekanbaru in 2018. This type of observational analytic quantitative research with cross sectional designe. The study population consisted of 315 third trimester pregnant women with a sample of 104 mothers. Data analysis was carried out in univariate, bivariate and multivariate. The results of the multivariate analysis showed that the variables that were significantly related to the utilization of the antenatal class were knowledge (POR: 4,248; CI 95%: 1,444-12,501), husband's support (POR: 3,707; 95% CI: 1,252-10,975), attitude (POR: 3,479; CI 95%: 1,210-9,997) and support from health workers (POR: 5,367; 95% CI: 1,758- 16,382). It is suggested to health workers to further enhance their role in providing health promotion on the importance of antenatal classes through mass media, electronic media and integrated counseling by establishing cross-program and cross-sectoral cooperation.

The Influence of Promotion and Knowledge for the Completeness of Basic Immunization in Infants

Abstract: Background departs of research from immunization coverage problems The background of the study departs from the problem of immunization coverage which is still very low, namely the percentage of immunization coverage in Tangkeh Health Center in 2018 Hb0 15.7%, BCG 36.3%, Polio 1 63.7%, DPT 1 50%, DPT 2 40.2 %, Polio 3 38.2%, DPT 3 22.5%, Polio 4 32.4%,Measles 25.5% of the standard service of at least 99%. This study aims to look at the effect of promotion and knowledge for completeness of basic infant immunization in the working area of Tangkeh Health Center in West Aceh District. Method of reseach wasquantitative method with cast control design. Population amounted to 74, Samples were taken accidentally sampling which is 30 baby mothers. The software used to analyze was SPSS 22, the bivariate analysis with T-test independent. The results of bivariate analysis was promotion (P value 0.003 <α; 0.05) and knowledge (P value 0.012 <α; 0.05), which means was the promotion and knowledge have an influence on completeness of basic immunization in infants with a poin of promotion higher average posttest (9.77) better than pretest (5.50) and with poin of knowledge higher average posttest (8.75) better than pretest (6.35).The conclusion of the study was the promotion and knowledge influences the completeness of basic immunization in infants.

Pengelompokan Data Puskesmas Banyuwangi Dalam Pemberian Imunisasi Menggunakan Metode K-Means Clustering

Abstract: Peningkatan pelayanan dan penyuluhan layanan imunisasi untuk ibu, bayi dan balita di Puskesmas dalam mencapai target cakupan Imunisasi Dasar Lengkap (IDL). Kabupaten Banyuwangi memiliki 45 Puskesmas yang akan dikelompokkan menjadi 3 kategori, yaitu: Puskesmas mencapai target IDL dengan status cukup, Puskesmas mencapai target IDL dengan status kurang, dan Puskesmas mencapai target IDL dengan status sangat baik. Tujuan penelitian ini adalah untuk mengetahui Puskesmas dalam mencapai target cakupan IDL di Kabupaten Banyuwangi. Metode yang digunakan dalam penelitian ini adalah K-Means Clustering, dimana metode ini dapat mencari partisi yang maksimal dengan prosedur iterasi yang optimal dalam mengelompokkan data secara tepat, dan memiliki ketelitian yang akurat terhadap ukuran objek, sehingga lebih terukur dan efisien dalam pengolahan data yang besar. Kesimpulan dalam penelitian ini adalah cluster pertama memiliki 19 data puskesmas dengan target imunisasi cukup, cluster kedua memiliki 24 data puskesmas dengan target imunisasi kurang, dan cluster ketiga memiliki 2 data puskesmas dengan target imunisasi sangat baik, sehingga Dinas Kesehatan dapat memberikan tugas tambahan bagi kelompok Puskesmas yang memiliki target IDL dengan status kurang untuk mengurangi angka penyakit-penyakit yang dapat dicegah dengan imunisasi (PD3I). Improvement of immunization services and counselling services for mothers, infants, and toddlers in health care centres in achieving the target of Complete Basic Immunization (IDL). Banyuwangi Regency has 45 Puskesmas which will be grouped into 3 categories, namely: Puskesmas achieving IDL targets with sufficient status, Puskesmas achieving IDL targets with insufficient status, and Puskesmas achieving IDL targets with very good status. The purpose of this study was to determine the health centre in achieving the target of IDL coverage in the Banyuwangi Regency. The method used in this research is K-Means Clustering. This method will seek a maximal partition with optimum iteration procedure and has the best precision of the object measurement, so it is more scalable and efficient in processing a large data. The conclusion in this study is the first cluster has 19 health care centers data with sufficient immunization targets, the second cluster has 24 health care centers data with fewer immunization targets, and the third cluster has 2 health care centers data with very good immunization targets, so the Health Office can provide additional tasks for the Puskesmas group who have IDL targets with insufficient status to reduce the number of diseases that can be prevented by immunization (PD3I).

Contextual Effect of the Integrated Health Post on DPT3 Immunization Uptake among Infants in Wonogiri, Central Java

Abstract: Background: DPT3 immunization coverage is considered as one indicator of the success of immunization programs in various countries. Indonesia is one of the countries that adopted Expand Program in Immunization (EPI) in 1977 which later introduced DPT as part of routine basic immunization services for infants, although there are still infants who do not get complete DPT immunization at this time. The purpose of this study was to analyze contextual effect of the integrated health post on DPT3 immunization uptake among infants in Wonogiri, Central Java. Subjects and Method: This was an analytical observational study with a cross sectional design. It was conducted in Wonogiri community health center II, East Java, from October to December 2018. A sample of 200 infants was selected from 25 integrated health posts with simple random sampling. The dependent variable was the use of DPT3 immunization. The independent variables were maternal education, family income, religion and beliefs, family support, information expo­sure, attitude, subjective norm, perceived behavior control, and intention. The data were collected by questionnaire and analyzed by a multilevel logistic regression. Results: The use of DPT3 immunization was influenced by maternal education (b = 2.01; 95% CI= 0.26 to 3.76; p= 0.025), family income (b= 2.56; 95% CI= 0.45 to 4.67; p= 0.017), religion and beliefs (b= 4.37; 95% CI= 1.78 to 6.96; p= 0.001), family support (b= 1.92; 95% CI= - 0.07 to 3.90; p= 0.058), exposure to information (b= 1.82; 95% CI= 0.11 to 3.54; p= 0.037), attitude (b= 1.59; 95% CI= - 0.29 to 3.47; p= 0.097), subjective norm (b= 1.66; 95% CI= - 0.17 to 3.49; p= 0.074), perceived behavior control (b= 2.50; 95 % CI= 0.57 to 4.43; p= 0.011), and intention (b= 2.93; 95% CI= 0.68 to 5.19; p= 0.011). Integrated health post had strong contextual effect on the use of DPT3 immunization with ICC= 53%. Conclusion: The use of DPT3 immunization is influenced by maternal education, family income, religion and beliefs, family support, exposure to information, attitude, subjective norm, perceived behavior control, and intention. Integrated health post has strong contextual effect on the use of DPT3 immunization. Keywords: DPT3 immunization, factors, Theory of Planned Behavior, posyandu, information exposure Correspondence: Rizqi Inayati. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36 A, Surakarta, Indonesia. Email: inayati.rizqi12@gmail.com. Mobile: +6289681682143 Journal of Maternal and Child Health (2019), 4(4): 267-278 https://doi.org/10.26911/thejmch.2019.04.04.06

Factors Influencing Pregnant Women's Participation in Prenatal Classes in Magetan Regency, Indonesia

Abstract: Prenatal classes in Indonesia are government’s effort to improve the knowledge and skills of pregnant women. Several factors influence the participation of pregnant women in these classes. This research aimed to identify the factors that correlate with pregnant women’s participation in prenatal classes in several rural villages of Magetan Regency, Indonesia. This observational analytical research was performed quantitatively using a cross-sectional design. Seventy-eight pregnant women meeting the research criteria were included in this study. Data were collected through a questionnaire that has been tested through validity and reliability tests. A binary logistic regression was employed to conduct a statistical analysis. Results showed that supports from family (OR 32.40, p-value < 0.01, 95% CI 4.55–230.64) and from health workers (OR 22.53, p-value < 0.001, 95% CI 3.96–128.19) were significantly associated with the respondent’s participation in prenatal classes after controlling the potential confounding factors such as knowledge, attitudes and information availability.

Factors Influencing Mothers’ Intention to Immunize Children Younger than Five Years of Age in West Borneo: a Cross-Sectional Study

Abstract: Introduction: Immunisations for BCG, DTP, Poliomyelitis, Hepatitis, and MMR are compulsory for children under 5 years old in Indonesia and government-provided free services. However, the available records indicated that adherence to the program remains a challenge. This study aimed to investigate factors associated with mothers’ intention to comply with the immunization program, particularly among those who had children of younger than one year old. Methods: The study was conducted through a cross-sectional analysis. Fourty-six mothers self-registered them selves as participants of this study. The data were collected through check-listed interviews, to investigate the correlations between social factors, information factors, attitude toward behaviour, subjective norm, perceived behavioural control, and intention to adhere to the compulsory immunization program. The data were then analysed using logistic regression and spearman rank test with significance level of α=0.05. Results: Mothers’ attitude, subjective norm, perceived behavioral control, and knowledge have significant correlations with the intention in completing the immunisation program for their children (respectively p = 0.009; 0.014; 0.025; 0.038). Their intention positively correlated with adherence to complete the program (p=0,002). However, other factors studied did not correlate either with mothers’ intention to adherence to the program. Conclusion: This study suggests that mothers’ intention is influenced by family members suggestions, indicating that their capacity in decision making was limited and relying to other member. Further investigation is required to unveil the underlying reasons of being non-adherence.