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All Journal Kesmas: Jurnal Kesehatan Masyarakat Nasional The Indonesian Journal of Public Health

Evi Martha

Faculty of Public Health, Universitas Indonesia, Depok

Author-ID : 2815234

Public Health

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Exclusive Breastfeeding Intention among Pregnant Women Tria Astika Endah Permatasari; Ratu Ayu Dewi Sartika; Endang Laksminingsih Achadi; Urip Purwono; Anies Irawati; Dwiana Ocviyanti; Evi Martha
Jurnal Kesehatan Masyarakat Nasional Volume 12, Issue 3, February 2018
Publisher : Faculty of Public Health Universitas Indonesia

Exclusive breastfeeding intention is a mother’s intention to provide her baby only breast milk since the infant was born until at the age of 6 months. Intention in prenatal period is the direct affirmation of exclusive breastfeeding. This study aimed to find out the most dominant factor related to exclusive breastfeeding intention among pregnant women at a mother and child hospital in South Tangerang. A cross-sectional study design was conducted primarily. The samples were 143 pregnant women on their third trimester pregnancy selected by purposive sampling. Intention was measured by the Infant Feeding Intention scalequestionnaire. Meanwhile, attitude, subjective norms, and perceived behavioral control were measured by the modified Breastfeeding Attrition Prediction Tool questionnaire. Data were analyzed using the multivariate logistic regression analysis. It was 61.5% mother had strong exclusive breastfeeding intention. Perceived behavioral control dominantly influenced the exclusive breastfeeding intention (p value = 0.007; Odds Ratio 3.030; 95% CI = 1.361-6.746). The other factors influencing intention were attitude, exposure to exclusive breastfeeding from social media, health workers’ support, previous breastfeeding experienceand mothers’ occupation. A mother with high perceived behavioral control has three times more likely to have ‘high exclusive breastfeeding intention’ than those having the low ones.AbstrakIntensi pemberian ASI eksklusif adalah intensi ibu untuk memberikan hanya ASI pada bayinya sejak dilahirkan hingga berusia enam bulan. Intensi pada periode prenatal merupakan penentu langsung pemberian ASI eksklusif. Penelitian ini bertujuan mengetahui faktor paling dominan berhubungan dengan intensi pemberian ASI eksklusif pada ibu hamil di sebuah rumah sakit ibu dan anak di Kota Tangerang Selatan. Penelitian dengan desain studi potong lintang dilakukan secara primer. Sampel berjumlah 143 ibu hamil trimester ketiga dipilih secara purposive sampling. Intensi pemberian ASI eksklusif diukur menggunakankuesioner the Infant Feeding Intentions scale. Sedangkan sikap, norma subjektif dan persepsi kontrol perilaku dinilai menggunakan modifikasi kuesioner Breastfeeding Attrition Prediction Tool. Data dianalisis menggunakan analisis regresi logistik ganda. Sebanyak 61,5% ibu memiliki intensi kuat memberikan ASI eksklusif. Persepsi kontrol perilaku paling dominan berhubungan dengan intensi pemberian ASI eksklusif, (p=0,007; Odds Ratio 3,030; 95% CI 1,361-6,746). Faktor lainnya yang berhubungan dengan intensi adalah sikap, keterpaparan ibu terhadap ASI eksklusif dari media sosial, dukungan tenaga kesehatan, pengalaman menyusui sebelumnya, dan pekerjaan ibu dengan persepsi kontrol perilaku tinggi berpeluang tiga kali lebih besar memiliki ‘intensitinggi’ untuk memberikan ASI eksklusif dibandingkan ibu berpersepsi kontrol perilaku rendah.

National Health Insurance Scheme: Internal and External Barriers in the Use of Reproductive Health Services among Women Evi Martha; Herna Lestari; Resvi Siti Zulfa; Yoslien Sopamena
Jurnal Kesehatan Masyarakat Nasional Vol 16, No 2 (2021): Volume 16, Issue 2, May 2021
Publisher : Faculty of Public Health Universitas Indonesia

Lack of familiarity among the community, medical workers, and administrative staff regarding reproductive health services covered by Badan Penyelenggara Jaminan Sosial (BPJS) or the National Health Insurance (NHI) in Indonesia remained a problem. Therefore, this resulted in sub-optimal use of the medical services, as shown by surveys from the Women's Health Foundation for three consecutive years (2015-2017). This qualitative study was conducted with a Rapid Assessment Procedure design in three cities within Indonesia: Padang Pariaman, Manado, and Kupang. Data were collected through IDIs (n = 47informants) and 6 FGDs (7 persons/group). Participants also consisted of NHI RHS users (mothers and young women), administrative officers at health facilities, medical services providers, and officials related to the NHI assistance. Data were managed using NVivo version 2.0 software, accompanied by thematic analysis. The internal barriers in NHI use included inadequate knowledge of RHS covered by NHI, and a culture of shame in informants. External barriers included additional costs for medicines not covered by NHI, the dissatisfaction of health services provided by medical workers, busy work and household activities, and lack of women's role in decision-making within families, which related to reproductive wellness.

THE EMPOWERMENT OF CADRES AND TRADITIONAL BIRTH ATTENDANTS IN THE EARLY DETECTION AND PREVENTION OF STUNTING IN NORTH BOGOR DISTRICT, BOGOR, WEST JAVA Evi Martha; Nindy Audia Nadira; Trini Sudiarti; Aisyah Putri Mayangsari; Embun Ferdina Enjaini; Tika Puspa Ryanthi; Dina Evariyana Bangun
The Indonesian Journal of Public Health Vol. 15 No. 2 (2020): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Stunting associated to the increased risk of morbidity and mortality, reduced physical capacity, impaired development and function of children’s motor and mental condition. Efforts have been made by the Government through Integrated Healthcare Center (IHC), however it is less optimal as it didn’t involved all aspects of the community. Cadres and TBAs are important parts of the community that are strategic enough to be involved in this activity, because they are very close to mothers and the community.This program aims to improve the knowledge and practice of 31 cadres and traditional birth attendants (TBA) in early detection and prevention of stunting and implement their knowledge to the community by using lecture, discussion, practice, and film screening methods. There is a significant difference in the knowledge level of cadres and TBA between pre and post training (p value = 0.0005) with knowledge improvement of 30.68%. Furthermore, cadre and TBA did a Follow-Up Plan (FUP) in the form of stunting socialization and education, particularly to the expectants and mothers, with the results of about 124 people exposed to stunting. To monitor FUP, team formed a total of 3 Whatsapp Groups for each village as a forum of communication and discussion between fellow participants to PHC and Research Team. As the result, almost all trainees informed the FUP through Whatsapp group, in the form of socialization and education to other cadres and mothers during IHC, recitations, village activities, sports activities, as well as family or neighbors individually, etc. Through the empowerment of cadres and TBA, education on early detection and prevention of stunting goes according to expectations and is quite effective to the role of cadres and TBA in the community.Keywords: stunting, cadre, traditional birth attendant, empowerment

Co-Authors Aisyah Putri Mayangsari Anies Irawati Dina Evariyana Bangun Dwiana Ocviyanti Embun Ferdina Enjaini Endang Laksminingsih Achadi Herna Lestari Nindy Audia Nadira Permatasari, Tria Astika Endah Ratu Ayu Dewi Sartika Resvi Siti Zulfa Sopamena, Yoslien Tika Puspa Ryanthi Trini Sudiarti Urip Purwono

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