Journal of Midwifery and Community Health (JMCH)

MATERNAL ANXIETY DURING THE COVID-19 PANDEMIC CAUSES NON-COMPLIANCE WITH MEASLES IMMUNIZATION IN THE WORK AREA PUSKESMAS DARUSSALAM, ACEH BESAR REGENCY

Indah Thursina — 2023-05-01

Background: Measles immunization coverage during the COVID-19 period has decreased. The COVID-19 pandemic, which is more focused on preventing the spread of the virus, has resulted in disrupted immunization services. Many factors cause a decrease in measles immunization in children, one of which is maternal anxiety during the COVID-19 period.

Method: This study used a cross-sectional study design in 86 mothers who had babies aged 9-12 months. Sampling is carried out by two-stage sampling. Data collection used a COVID-19 anxiety scale questionnaire (CAS) and MCH book recording to determine measles immunization records. Data analysis using chi-square test.

Result: The number of mothers who are anxious about Covid-19 is more disobedient in the administration of measles immunization (69.1) than those who are compliant (30.9). There is a relationship between maternal anxiety during COVID-19 and adherence to measles immunization (p-value 0.026).

Conclusion: Maternal anxiety during the COVID-19 period is related to compliance with measles immunization in the work area of the Darussalam Health Center, Aceh Besar Regency. Increased understanding related to the prevention and transmission of COVID-19 must be done to the community. This effort is made to reduce the level of anxiety of the people.

DETERMINANT OF SUCCESFULL EXCLUSIVE BREASTFEEDING IN THE WORK AREA OF LANGSA LAMA PUSKESMAS LANGSA CITY

Khairi Rizka — 2023-05-01

Background : Breast milk is the best food for babies, therefore breats milk should be given to babies at least until the age 6 months and must be given until 2 years. Exclusive breastfeeding covereage in Langsa city in 2021 reaches the target of 80%, which is 83,8%. Various efforts carried out by the langsa city health center are classes for pregnant women and helath education about exclusive breastfeeding.

Research Objectives: to determine the determinants of the success of exclusive breastfeeding in the working area of the Langsa public helath center Langsa city in 2022.

The Research : This type of research is analytic with a cross sectional approach. The sampel in this study was 75 pregnant women. The research was carried out on 21-25 June 2022, the data analysis used was univariate and bivariate.

The Results : The result showed that there was a relationship between helath education and exclusive breastfeeding wit a p value 0,002, with an OR 5.079, there is a relationship between the class of pregnant women and exclusive breastfeeding with a p value 0,002 with OR 5.464, there is a relationship between early intitation of breastfeeding exclusive breastfeeding with p value 0,009 with a OR of 3.949.

Conclusion and suggestions : There is relationship between health education, class of pregnant women and early initittation of breastfeeding. It is hoped that further researches will be able to improve research on exclusive breastfeeding by adding variabel such as family support and cultural factor as wel the cohort method

THE RELATIONSHIP BETWEEN MOTHER'S PARENTING STYLES AND STUNTING IN TODDLERS AGED 24-59 MONTHS IN THE WORKING AREA OF PUSKESMAS KUTA BARO THE DISTRICT OF ACEH BESAR

Rofilatunisa Jafar — 2023-05-01

Introduction: It is estimated that around 26% of children under five worldwide are stunted. Indonesia is included in 17 countries out of 117 countries in the world that have a high prevalence of wasting, stunting, and over being weight in toddlers. Nusa Tenggara Timur (NTT) is the province that has the highest prevalence of stunting, while Aceh is in the third position. The district of Aceh Besar is ranked 18th out of 23 districts/cities in Aceh Province with a high incidence of stunting. The sub-district of Kuta Baro is the third rank with the highest stunting in the district of Aceh Besar; with 272 cases of stunting. One of the indirect causes of stunting is the mother,s parenting style.

Method: This study was an analytical observational study with a cross sectional-section aligned to analyze the relationship between mothers’ parenting styles and the incidence of stunting in toddlers aged 24-59 months. Collecting data using a questionnaire.

Result: The incidence of stunting in toddlers aged 24-59 months in the working area of Puskesmas Kuta Baro was 43.3%. The results of the bivariate analysis showed that there was a significant relationship between food parenting, health parenting, and psychosocial stimulation with stunting in toddlers at Puskesmas Kuta Baro (P <0.05), meanwhile hygiene and environmental sanitation did not relationship with stunting (P=0.971).

Conclusion: There was a significant relationship between food parenting style, health parenting style, and psychosocial stimulation parenting style with the incidence of stunting in toddlers.

THE EFFECT OF BOILED WATER OF THE RED BETEL LEAF TO REDUCING THE SYMPTOMS OF PATHOLOGICAL FLOUR ALBUS IN ADOLESCENTS IN MODERN BOARDING SCHOOLS IN KUTA BARO, THE DISTRICT OF ACEH BESAR

zarifa isra — 2023-05-01

Background: Flour albus is a problem that is often encountered in adolescents. Female students who studied at modern Islamic boarding schools also complained about the same problem. Not maintaining personal hygiene and lack of knowledge is the main cause of flour albus in students. Handling flour albus can be done non-pharmacologically through the provision of red betel boiled water.

Method: This study uses a quasi-experiment method with a pretest-posttest control group design. The study involved 30 young women who experienced pathological flour albus. Respondents came from two different Islamic boarding schools. Fifteen young women from Islamic Boarding School Daruzzahidin were given treatment and 15 from Islamic Boarding School Darul Hikmah for the control group. Treatment by giving 100 ml of decoction of red betel dau to wash away the genitals. This treatment is carried out for 14 days. The sampling technique uses purposive sampling, according to the criteria set by the researcher.

Result: There were differences before and after the use of red betel boiled water and no differences before and after observation in the control group. Pretest results in the treatment group showed the incidence of pathological discharge in the moderate category of as many as 7 people (46.7%). For posttest results, the whitish category changed, where young women who were initially in the moderate category became whitish in the mild category, namely 9 people (60%).

Conclusion: There is an influence of the administration of boiled water of red betel on the incidence of pathological discharge. It is hoped that policymakers will be able to increase adolescent knowledge about personal hygiene and non-pharmacological treatment to overcome flour albus.

THE RELATIONSHIP BETWEEN PARITY ANDMACROSOMIA BIRTH IN THE DISTRICT OF ACEH BESAR

Ulyatul marati — 2023-05-01

Introduction: According to the IDHS 2012, the Infant Mortality Rate (IMR) in Indonesia was 34 per 1000 births. Macrosomia is defined as birth weight >4000 g or babies larger than normal. Macrosomia is an important cause of fetal morbidity and mortality. According to the Indonesian Basic Health Research 2018, the incidence of macrosomia birth in Indonesia was 3.7 %, in Aceh Province in 2018 was 7.7%, and the prevalence of obese children in the district of Aceh Besar was 2.9%. This study aims to analyze the relationship between the parity of mother and macrosomia birth in Puskesmas Blang Bintang, the district of Aceh Besar.

Methods: This study was an analytic survey study with a case-control design. It was conducted in Puskesmas Blang Bintang's work area, in the Aceh Besar district, from September 2018 to March 2019, with a total sample of 40 infants divided into two groups. Data analysis used univariate and bivariate analysis using Chi-Square Test (x ) with a 95% confidence interval.

Result: There was no significant relationship between the parity of mothers,s and macrosomia births.

Conclusion: The number of mothers parity did not impact macrosomia birth.