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RISK FACTORS FOR IRON DEFICIENCY ANEMIA IN INFANTS AGED 6 MONTHS IN TEGAL REJO PUBLIC HEALTH CENTER, YOGYAKARTA, INDONESIA Kusmiyati, Yuni; Tyastuti, Siti; Supriyati, Yulita Rizky; Sari, Nirmala
Proceedings of the International Conference on Applied Science and Health No 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Anemia is a global public health problem affecting both developing and developed countries with major consequences on human health as well as social and economic development. Anemia resulting from iron deficiency that may adversely affects the infants? cognitive and motor development. The objective of this research was to find out the risk factors of iron deficiency anemia (IDA) in 6 months old infants.Methods: This was an observational research with case-control design. Population was all 6 months old infants having been examined for their hemoglobin levels in Tegalrejo public health center in Yogyakarta from 2017 to 2018. 164 samples were taken with random sampling contained of 82 infants with anemia diagnosis in case group and 82 infants with normal hemoglobin levels for control group. Dependent variable was iron deficiency anemia (IDA) assessed based on hemoglobin level less than 11 gr% and independent variables were IDA risk factors (birth weight, sex, maternal education, maternal occupation, and maternal age) obtained from medical records and direct interviews. Data were analyzed by using logistic regression. Results: the risk factor influencing IDA was exclusive breastfeeding (p<0.05). Infants who did not receive exclusive breastfeeding had 2.16 folds higher risk of having IDA than those who received exclusive breastfeeding. Other risk factors such as birth weight, sex, maternal education, maternal occupation, and maternal age did not correlate significantly to iron deficiency anemia (IDA). Conclusion: Exclusive breastfeeding was the significant risk factor toward iron deficiency anemia in 6 months old infants after controlling other risk factors. Therefore, these finding can be implemented by maternal and child health practitioners to make iron deficiency anemia prevention program by eliminating or minimizing its risk factor.

LAMA BEKERJA, KEIKUTSERTAAN PELATIHAN DAN TINGKAT PENDIDIKAN BIDAN TERHADAP PERILAKU PENCEGAHAN INFEKSI M.J, Sri Lestari; Kusmiyati, Yuni; Tyastuti, Siti
Jurnal Kesehatan Ibu dan Anak Vol 5 No 1 (2014): Juli
Publisher : Poltekkes Kemenkes Yogyakarta

Maternal mortality rate of Kalimantan Barat Province is on the 7 in Indonesia, about 353/100.000 birth, which is 2,8% caused by infection. The vigilance of patient service standard is consist of hand hygiene, self-protection equipment, patient care tools, environment control, patient tools and linen processing, worker?s health or health provider safety, and patient placement. Health providers have to apply the infection prevention within patient relationship. Education and training for health provider is one of the way for developing the human resources of health. For doing the professionalism strategy is need to be using competence standard, training and other quality improvement activities.This study was observational analytic designed as cross sectional. As the independent variable (are working period, training participation and education level) and dependent variable (is infection prevention behavior). Research subject are 55 midwives in RSUD dr. Soedarso, taken by Total Sampling. Data has been analyzed using univariate and bivariate analysis by Kendall?s Tau statistic test.Statistic test result showed that there is any correlation between working period and infection prevention behavior (p-value 0,02). There is any correlation between training participation and infection prevention behavior (p-value 0,02). There is any correlation between education level and infection prevention behavior (p-value 0,01).

SURVEI TINGKAT PENGETAHUAN DAN SIKAP TENTANG ASI EKSKLUSIF PADA PESERTA KOLOMPOK PENDUKUNG IBU (KP-IBU) Asmarani, Hani; Tyastuti, Siti; Maryani, Tri
Jurnal Kesehatan Ibu dan Anak Vol 7 No 1 (2015): Juli
Publisher : Poltekkes Kemenkes Yogyakarta

Based on the WHO study in 6 developing countries, the risk of death among infants aged 9-12 months increased by 40% and infants under 2 months of age increased to 48% if not breastfed (Roesli, 2008). National Socio-Economic Survey of 2O10 showed coverage of exclusive breastfeeding in Indonesia 33.6% (the national target of 80%). Coverage of exclusive breastfeeding in DIY reached 49.5%. Whereas in Bantul Regency showed a decrease of 42.34% (in 2011) to 39% (in 2012) (Bantul Health Office, 2012). Bantul government since 2009 has launched a program of Mother Support Group to improve the knowledge, attitudes, and practices of exclusive breastfeeding. Objective purpose to know the level of knowledge and attitude about exclusive breastfeeding on participants in the Mother Support Group at the working area Public Health Center Banguntapan ll. The method this type of study isa descriptive survey to describe the knowledge and attitudes of participants Mother Support Group about exclusive breastfeeding. The subjects were all women attending Mother Support Group who has babies aged 0-6 months as many as 81 people. instruments this study in the form of questionnaires. Data analysis using descriptive statistics. The majority knowledge level of the participant's mother support group about exclusively breastfeeding in good category (76.54%) and the attitude of the participants Mother Support Group is majority supportive (82,720/,) for exclusive breastfeeding. The participant's Mother Support Group has good knowledge about exclusive breastfeeding and supportive attitude towards exclusive  breastfeeding.

HUBUNGAN HIPERTENSI DALAM KEHAMILAN DENGAN KEJADIAN BBLR DI RSUD WONOSARI Putri, Puspita Sukma Dewi Pratama; Sujiyatini, Sujiyatini; Tyastuti, Siti
Jurnal Kesehatan Ibu dan Anak Vol 1 No 1 (2012): Juli
Publisher : Poltekkes Kemenkes Yogyakarta

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Low birth weight (LBW) is still the main cause of perinatal morbidity and mortality. Hypertensive pregnancy (HP) is often the main cause of LBW incidences. ln HP, the disfunction of placenta vascular will occur and it causes the disturbance of the blood pipeline to the placenta so that the input of nutrition and embryo oxygen cannot be fulfilled optimally, and it causes the late fetus growth and LBW infant. At RSUD Wonosari in 2008, there was 30,36% woman with HP born LBW infant and the rate was getting an increase in 2009, there was 46%. Objectives: To observe the correlation between HP and LBW incidences at RSUD Wonosari in 2010-2011. Methods: The observational analytical research with case-control design, consist of HP as independent va.riable and LBW as a dependent. The samples are determined by using purposive sampling method from medical records at RSUD Wonosari in 2010-2011. The analysis method of this research is chi-square statistical test, and contingency coefficient Result: LBW incidences that were born by a woman with HP at RSUD Wonosari in 2010-2011 are about 7596, chi-square analysis with df=1 and significance level 5% produce X2 count = 39,629; p-value = 0,000, and C=0,462.

HUBUNGAN TINGKAT PENGETAHUAN DAN SIKAP DENGAN KEIKUTSERTAAN DALAM POSYANDU LANSIA Cahyaningrum, Restia; Tyastuti, Siti; Santoso, Sabar
Jurnal Kesehatan Ibu dan Anak Vol 2 No 2 (2012): November
Publisher : Poltekkes Kemenkes Yogyakarta

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United State Census (based on the BPS rate Indonesia) Indonesia experienced a trend of rising population aged above 65 years old. Of the elderly population distribution according to the provinces, the percentage of elderly residents in the province of Yogyakarta special region of 14.02%, 10.99% Central Java, East Java and Bali 1A,92% 6.95%. The number of pain (morbidity) of elderly increases, 28% in 2003, 29.9% in 2005, 19.3% in 2007, and 301% in 2009. Quality improvement in terms of biological and psychosocial needs so that they can enjoy a better life, and support preventive action, as well as promotive health in Primary Health Care according to the paradigm of healthy. One effort that can be done is with a program of Posyandu for elderly. Posyandu for elderly (Age Group) is a health service place for the elderly in the community where the process of the establishment and their implementation is carried out by the community with non-governmental organizations Government and cross-sector nongovernment, private, charitable organizations and others, in a series of efforts aimed at servicing and preventive promotive. ln the activities of the knowledge and attitude about posyandu for elderly is very influential to the liveliness of the posyandu presence. The purpose of this research is to determine the correlations of the level of knowledge and attitude of elderly with posyandu for elderly participation. This type of research using the method of research studies the correlation (Correlation Study) and the design is observational/survey. The samples in the study totaled 67 elderly in Posyandu for elderly RW 4 Wards of Wirogunan. The instruments used for data collection in this study is a questionnaire and secondary data or documentation. Multivariate data analysis using logistic regression test. the result is PR value relationship level of knowledge and attitudes of elderly with participation in Posyandu for elderly  through Logistic regression showed the 3.252 for the level of knowledge ta 2.990 for attitudes

HUBUNGAN KEJADIAN KURANG ENERGI KRONIS (KEK) DENGAN KEJADIAN ANEMIA PADA IBU HAMIL TRIMESTER I DI PUSKESMAS MANTRIJERON TAHUN 2011 Huriyah, Huriyah; Tyastuti, Siti; Suherni, Suherni
Jurnal Kesehatan Ibu dan Anak Vol 3 No 1 (2013): Juli
Publisher : Poltekkes Kemenkes Yogyakarta

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Data Family Health Directorate indicate that 40% of the causes of maternal deaths are hemorrhage. The risk of bleeding is increased when pregnant women suffer from anemia. Greatest predisposing factors is nutritional deficiency anemia. Nutritional status of pregnant women can be measured through Upper Arm Circumference (LILA). LILA < 23.5 cm reflects the pregnant women suffer from Chronic Energy Deficiency (KEK). The prevalence of chronic energy deficiency in pregnant women in Mantijeron health centers in 2011 (30.8%) is accompanied by a high prevalence rate of pregnant women with anemia (37.55%). Objective: Knowledgeable link the KEK with the incidence of anemia in trimester I pregnant women in Mantrijeron Health Center in 2011. Methods: Observational study with cross-sectional. The study population were all pregnant women registered in the register Mantijeron Health Center in 2011 as many as 245 people. Sampling technique using consecutive sampling, samples obtained as many as 146 people. Analysis using the chi square test with ? of 5%. Results: total of 29.5% of pregnant women suffer from chronic energy deficiency and 43.2% of pregnant women are anemic. There is a relationship between the incidence of KEK with the incidence of anemia in trimester I pregnant women in Mantrijeron Health Centers TM I in Mantrijeron Year 2011 (X2 count = 9.584 p-value = 0.002). The prevalence ratio of 1.748 indicates that the KEK is a risk factor for anemia. Conclusion: There is a relationship between the occurrence of the incident KEK in trimester I pregnant women with anemia in Mantrijeron in the year of 2011 and KEK is 1.748 risk factor to be anemia.

UMUR DAN PENDAMPINGAN SUAMI DENGAN LAMA PERSALINAN KALA II PADA IBU PRIMIPARA Wati, Yuliza Sofya; Kusmiyati, Yuni; Tyastuti, Siti
Jurnal Kesehatan Ibu dan Anak Vol 3 No 1 (2013): Juli
Publisher : Poltekkes Kemenkes Yogyakarta

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Maternal mortality rate and neonatal mortality rate in Indonesia are high at 228 per 10o.ooo live births. Maternal mortality in Indonesia caused by prolonged labor 9% which happened by prolonged second stage of labor have high risked for mother and fetus. Prevalence of prolonged labor in Kulon Progo Regency in 2011 occupy highest rank at the rate 12,58%. Based on former study in Wales General Hospital on 2012 number of prolonged second stage of labor is t1% and increased 4.5% at 2011, women in labor and at risked age (>35) are 2,7%. To know the correlation of ages and company of husbands during labor with primipara labor in Wates Kulon Progo General Hospital 2012. This study used an observational with cohort study design. Technik sampling used purposive sampling. To know variable of ages and company of husbands toward variable of labor duration at second stage in women primipara on labor in Wates Kulon Progo General Hospital. There are 64 participants. The result of chi square p-vatu6 0,010 which means there are correlation of ages with prolonged second stage. There are 4 (12,5%) women in labor who accompanied and gave birth more than 2 hours, 87,5% women in labor who accompanied and gave birth less than 2 hours with result p-value 0,000 which means there are significant correlation between company by husband with prolonged second stage. Multivariate analysis used coefficient regression determinant is 0,340. There are correlation of ages and company of husband with prolonged second stage have p-value 0,010. Ages have 4 times risked and company of husband have 12 times risked don?t have prolonged second stage. From coefficient regression determinant can be concluded that variable of prolonged second stage can be explained by variable of ages and company of husband are 34%

PENGARUH PEMBERIAN INFORMASI MELALUI FACEBOOK TERHADAP PENINGKATAN PENGETAHUAN KEHAMILAN REMAJA Verminisnaini, Dimar; Tyastuti, Siti; Purnamaningrum, Yuliasti Eka
Jurnal Kesehatan Ibu dan Anak Vol 4 No 2 (2013): November
Publisher : Poltekkes Kemenkes Yogyakarta

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In Daerah Istimewa Yogyakarta there were 56,1% adolescent girls aged 16-20 who give birth 1-2 baby (BPS DIY Province 2011). While in Kulon Progo Regency from 2009-2011 there were increased percentage of adolescent pregnancy from 11,2%, 11,7% and 11,8%. The most adolescent pregnancy rate in Wates District. Giving appropriate information can improved knowledge of adolescent about adolescent pregnancy. Objective: to determine the effect of giving information by facebook toward knowledge improvement about adolescent pregnancy. Experimental study with pretest-posttest design with control group was brought. This study took place at 2 Wates High School as experimental group and 1 Wates High School as control group. Subject of this study was students grade X. this study composed of 53 students are respondent for each group. Instrumental of this study questionnaire. The result average pretest was 56,9% to experimental group dan the control groups was 67.7%. the result of average post-test was 91.0% to experimental group and the control group was 73.3%. the results of paired sample t test showed that experimental group while the control group was 5,7. The result of independent sample t-test showed that p-value 0.00 (p-value <0.05). conclusion: there are improved of giving information by facebook toward knowledge improvement about adolescent pregnancy of grade X at 2 Wates High School 2013.

PENGARUH LAMA PEMAKAIAN KB SUNTIK DMPA TERHADAP KENAIKAN BERAT BADAN Undiarti, Uun; Suherni, Suherni; Tyastuti, Siti
Jurnal Kesehatan Ibu dan Anak Vol 8 No 2 (2015): November
Publisher : Poltekkes Kemenkes Yogyakarta

KB acceptors active injection in Bantul rank first in DIY with total amount of 50.5%, the highest rank of 6061 people (50.1%) occurred in Sewon (Ministry of Health, 2011). KB injectable DMPA has one side effect, that is weight gain. Based on a preliminary study of the 20 respondents in Puskesmas Sewon I, 70% of their body weight increased along with duration of use. Problem arising from the increase in body weight is a health issue. A long-term utilization of hormonal contraception always generates the bad side effect for health. DMPA injectable contraceptive are acceptable as hormonal contraception, but maximum usage limit is 10 times injection or 2.5 years (Suroso, 2011). The purpose of the research is to knew the influence between duration of use of DMPA injections (KB) to weight gain in Puskesmas Sewon I, Bantul 2012. Observational analytic study with cross-sectional approach. Population study are all KB acceptors DMPA injection at Puskesmas Sewon I, Bantul in 2012 amounted to 323 subjects. Samples were taken at consecutive sampling of medical records for the date April 4th to June 14th 2012 amounted ti 179 subjects. Kendall-tau (t) method used for the data analysis. Most of the subject had used DMPA injections KB within >12- 24 months with a frequency of 68 (37.99%), the majority of subject gained weight 2.2 kg with a frequency of 51 (28.9%), the longer use of DMPA injection (KB) on average the greater the weight gain. Test correlation with Kendall-tau (t) obtained p-value <0.000 (2.2x 10-16) (p-value <0.05), means that Ho rejected and there is an influence between duration of use DMPA injection (KB) to weight gain in Puskesmas Sewon I, Bantul in 2012 with a correlation coefficient of 0.5292, meaning that 54.92%, weight gain is influenced by KB injectable DMPA and 45.08% weight gai is influenced by other factors. There is enough influence with closeness between duration of use DMPA injection KB with weight gain in Puskesmas Sewon I, Bantul in 2012.

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