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OPTIMALISASI TUMBUH KEMBANG BAYI DAN BALITA MELALUI PEMBERDAYAAN KELUARGA DALAM PEMANFAATAN BUKU KIA DI SURABAYA OPTIMIZING THE GROWTH OF BABIES AND CHILDREN THROUGH EMPOWERMENT OF THE FAMILY IN THE UTILIZATION OF KIA BOOKS IN SURABAYA Utami, Sri; Susilaningrum, Rekawati; Purwanti, Dwi
Jurnal ABDI: Media Pengabdian Kepada Masyarakat Vol 7, No 1 (2021)
Publisher : Universitas Negeri Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26740/ja.v7n1.p139-142

AbstrakÂ Latar belakang. Optimalisasi tumbuh kembang anak merupakan salah satu upaya prioritas dalam mempersiapkan anak Indonesia generasi yang berkualitas. Keluarga mempunyai peran penting dalam menyiapkan anak mencapai tumbuh kembang optimal, melalui stimulasi dan pemantauan tumbuh kembang dengan menggunakan buku KIA. Di Jawa Timur, kepemilikan buku KIA sudah di atas 80% (Kemenkes RI, 2018), namun Kepemilikan buku KIA belum diimbangi dengan pemahaman isinya serta pemanfaatannya oleh ibu. Tujuan pengabdian kepada masyarakat ini adalah meningkatkan pemahaman keluarga tentang buku KIA sebagai upaya optimalisasi tumbuh kembang balita. Metode. Metode yang digunakan adalah wawancara konseling,Â dengan sasaran keluarga (ibu) yang mempunyai anak bayi dan balita. Jumlah sasaran 30 keluarga. Hasil. Pertumbuhan balita sebagian besar (83%) status gizi (BB/T) normal, Sebagian besar (77%) status gizi berdasarkan TB/Umur kategori normal. Hampir seluruhnya (97%) perkembangan sesuai usia. Setelah dilakukan konseling terdapat peningkatan pengetahuan ibu tentang pemanfaatan buku KIA dalam upaya optimalisasi tumbuh kembang dari 87% menjadi 100% berpengetahuan baik, dari 97% sikap positif menjadi seluruhnya 100% sikap positif, dan dari 83% Tindakan sesuai dalam pemanfaatan buku KIA, menjadi 97% sesuai. Konseling yang diberikan dapat meningkatkan pengetahuan, sikap dan Tindakan ibu dalam pemanfaatan buku KIA.Â Kata Kunci: Pemberdayaan, Buku KIA, Tumbuh Kembang Bayi dan Balita.Â Â AbstractÂ Background. Optimizing child growth and development is one of the priority efforts in preparing quality generations of Indonesian children. Families have an important role in preparing children to achieve optimal growth and development, through stimulation and monitoring of growth and development using the MCH Handbook. In East Java, ownership of KIA books is above 80% (Ministry of Health RI, 2018), but ownership of MCH books has not been matched by understanding the contents and their use by mothers. The purpose of this community service is to increase family understanding of the MCH book as an effort to optimize the growth and development of toddlers. Method.The method used is interview counseling, targeting families (mothers) who have babies and toddlers. The target number is 30 families. Result. Most of the children under five (83%) had normal nutritional status (BW / T). Most (77%) nutritional status based on TB / age was normal. Almost all (97%) developed according to age. After counseling was carried out, there was an increase in the mother's knowledge about the use of MCH books in an effort to optimize growth and development from 87% to 100% good knowledge, from 97% positive attitudes to 100% positive attitudes, and from 83% appropriate actions in the use of the KIA book, to 97 % corresponding. The counseling provided can increase the knowledge, attitudes and actions of mothers in the use of the MCH book.Â Keywords: Empowerment, MCH Handbook, Infant and Toddler Growth.

Midwives Performance in Early Detection of Growth and Development Irregularities of Children Based on Task Commitment Sri Utami; Nursalam Nursalam; Rachmat Hargono; Rekawati Susilaningrum
International Journal of Evaluation and Research in Education (IJERE) Vol 5, No 4: December 2016
Publisher : Institute of Advanced Engineering and Science

The purpose of this study was to analyze the performance of midwives based on the task commitment. This was an observational analytic with cross sectional approach. Multistage random sampling was used to determine the public health center, proportional random sampling to selected participants. The samples were 222 midwives in the public health center of Surabaya City. Data were collected by questionnaires on exogenous variables and sheet of data collectors for the performance of midwives. Data was analyzed by using Partial Least Square (PLS). This study found the results of the self leadership directly affects the performance with the value of T-statistic of 3.852> T-table (1.96) with the value of the path coefficient of 0.257, while the value of the indirect influence on the strategy of self leadership performance through mediator task commitment with path coefficient value of 0.053. These models can be used as a reference in improving the performance of midwives in other activities related to maternal and child health services.

Analysis of Factors Affecting Commitment and Ability of Families to Early Detection in Stunting Nursalam Nursalam; Sri Utami; Rekawati Susilaningrum
Jurnal Keperawatan Padjadjaran Vol. 9 No. 3 (2021): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v9i3.1722

Background: Stunting is a public health problem in the world, stunting will have an impact on the growth and development of children. The first 1000 days of life are important to prevent stunting, this is a period when the child’s body system experiences physical growth, intelligence, and children’s abilities. Purpose:This study aims to analyze the factors that influence family commitment and ability to detect stunting. Methods: A cross-sectional study was conducted on 130 respondents in public health center, Surabaya, Indonesia. Data was collected through a questionnaire via Google form, anonymous online research questionnaire was collected through social media, such as Telegram, WhatsApp, Facebook which was conducted from June to September 2020. Data were analyzed using SPSS software version 21 with multivariate logistic regression. Results: The dominant factor affecting the commitment in early detection of stunting was community resources (p = 0.006; CI 95% = 0.888 - 4.272). Supporting (p = 0.000; CI 95% = 1.757-79.610), empowering (p = 0.000; CI 95% = 0.603 – 18.363) and enabling (p = 0.000; CI 95% = 0.395 – 4.869) were dominant factors that affected the ability to detect early stunting. Conclusion: The behavior of commitment and willingness in early detection of stunting in children is an important role that every parent must have with full support from the family. The main factor influencing family commitment is community resources and the main factor is the willingness of early detection to support, empower and enable families to provide care for their children.

Kinerja Bidan dalam Deteksi Dini Penyimpangan Tumbuh Kembang Anak Sri Utami; Nursalam Nursalam; Rachmat Hargono; Rekawati Susilaningrum
Jurnal Ners Vol. 11 No. 2 (2016): Oktober 2016
Publisher : Universitas Airlangga

Background: Children are the future of a nation.They should be able to grow and develop optimally. One effort that can be done to help children grow and develop optimally is through an early detection of deviationsin child’s growth. The purpose of this study was to develop a model of midwife performance improvement through the optimization of self leadership strategy. Method: This study was an observational study with cross sectional design. The subjects were 222 midwives working at the health center services in the area of Surabaya Health Department taken by using proportional random sampling technique. Exogenous variables were job design, history of training of early detection of deviationsin child’s growth, self leadership strategy, midwife skill, midwife activity in early detection of deviationsin child’s growth, andendogenous variable was midwife performance in early detection of deviationsin child’s growth. Data were analyzed using Partial Least Square (PLS). Result: The result of inner model analysis showed that the value of T-statistic of the influence of self leadership strategyon midwife performance improvement, the influence of midwife skill on activity performance improvement, the influence of self leadership strategyon activity performance improvement and on midwife performance improvement was higher than T-table (1.96). Whereas, training of early detection of deviationsin child’s growth did not influence midwife skill improvement since the value of T-statistic was lower than T-table (<1.96). In addition, there was also no influence of job design on midwife skill improvement and on midwife activity performance improvement in early detection of deviationsin child’s growth. Discussion: Optimization of midwife self-leadership ability is a factor to be considered as an effort to improve the performance of midwives in early detection of deviationsin child’s growth.

Development of Transactional Communication Model for Midwife and Postpartum Mother on Exclusive Breastfeeding Rekawati Susilaningrum; Sri Utami; Susilorini Susilorini
Jurnal Ners Vol. 12 No. 1 (2017): April 2017
Publisher : Universitas Airlangga

Introduction. Exclusive breastfeeding has become a major issue in Surabaya because the number of exclusive breastfeeding coverage are less than 80% which is below the national target. The purpose of this study was to develop a transactional communication model based on management between midwife and postpartum mother on exclusive breastfeeding.Method. The design used in this study was cross-sectional with 175 postpartum mothers in public health center Surabaya as the samples that recruited by purposive sampling. Questionnaires were used as instrument and data were analyzed by using descriptive statistical test and Partial Least Square (PLS). Result. The result showed that predisposing factors and enabling factors were able to improve the practice of exclusive breastfeeding directly or indirectly by transactional communication with t-table (>1.96). However, reinforcing factors could not directly improve the practice of exclusive breastfeeding. This study indicates that practice of exclusive breastfeeding could be improved with transactional communication based on human interaction theory.Conclusion. The implementation of transactional communication between midwife and mother would be able to optimize the predisposing factors, enabling factors, and reinforcing factors on the practice of exclusive breastfeeding.

The Development of Nursing Job Performance Model in The Implementation of Integrated Management of Childhood Illness (Imci) in Surabaya Rekawati Susilaningrum; Chriswardani Suryawati; Septo Pawelas Arso
Jurnal Ners Vol. 7 No. 1 (2012): April 2012
Publisher : Universitas Airlangga

Introduction: MTBS is a comprehensive approaches for child illnes and one of the way to reduce an infant and under ﬁ ve years morbidity and mortality rateas well as appropriately to apply in public health center. In fact, MTBS has not been implemented as procedure guidance. The objective of the study was to examie the implementation of MTBS viewed from Van Meter and Van Horn model as basic measurement and the goal of policy, the sources of policy, a communication among organisation and the implementation of MTBS.Method: The study was qualitative design. Data were collected by in depth interview. Six Nurse and midwife were recruited as a sample by purposive sampling. Informant triangulation were head of PHC and head of deputy health services. Analysis was by means of content analysis.Result showed that the written and indicator of basic measurement and goal policy was not available yet. Sources of policy, namely health.Result: For the health workers was sufﬁcient and they have a good competency to carry out MTBS and have workload focus on three types. Fasilities was no room, form was difﬁcult to provide, instruments and medication was sufﬁcient available, but there was no speciﬁc funding. Communication was carried out only on the training program by MTBS fascilitator. Characteristic of beaurocracy structure (SOP) consists of preparation, implementation, eporting and recording.There was no speciﬁc preparation, it only an introduction dessimination was done. The implementation was not as modul and the form of MTBS was not used anymore. The implementation of MTBS lack support from Public Health center and Health Care District of Surabaya. Healh worker unmotivated to implement MTBS.Conclusio: the implementation of MTBS lack support from health worker, Public Health Center and Health Care District of Surabaya.It is recomended that Health Care District & Public Health Center cooperatively should have commitment to assess the implementation of MTBS in Surabaya.

Development of Leadership and Communication Skill Model on Midwifery Students in Physiological Delivery Practice Sri Utami; Rekawati Susilaningrum; Susilorini Susilorini
Jurnal Ners Vol. 12 No. 2 (2017): October 2017
Publisher : Universitas Airlangga

Introduction: Currently there is a tendency for students only prioritising hard skills without improving their soft skills. This is indicated by the negative attitudes and actions such as delay task submission, bad time management, and a lack of commitment towards a task. The purpose of this research is to find out the model of leadership skill development and communication skill of the vocational Midwifery course.Methods: This study consists of two stages. The research type was observational and explanatory. The first stage used a cross-sectional design and the second stage was quasi-experimental. The subjects of the study for the first stage was 130 respondents, calculated by “rule of the thumb” and by purposive sampling. The second stage consisted of 38 respondents taken by random sampling. The exogenous variables are motivation, self-leadership strategies, job satisfaction, psychological empowerment, self-efficacy, and task commitment. The endogenous variables are leadership skill and communication skills. In the first stage, the data were analysed using PLS and the second stage used a Wilcoxon test with α = 0,05.Results: The variables of motivation, self-leadership and job satisfaction could improve communication skills. In stage 2 (after training), all of the variables increased significantly with p <0,05.Conclusions: Training using the self-leadership module can improve the ability of motivation, self-leadership strategies, job satisfaction, self-efficacy, psychological empowerment, task commitment, communication and student leadership skills.

OPTIMALISASI TUMBUH KEMBANG BAYI DAN BALITA MELALUI PEMBERDAYAAN KELUARGA DALAM PEMANFAATAN BUKU KIA DI SURABAYA OPTIMIZING THE GROWTH OF BABIES AND CHILDREN THROUGH EMPOWERMENT OF THE FAMILY IN THE UTILIZATION OF KIA BOOKS IN SURABAYA Sri Utami; Rekawati Susilaningrum; Dwi Purwanti
Jurnal ABDI: Media Pengabdian Kepada Masyarakat Vol. 7 No. 1 (2021)
Publisher : Universitas Negeri Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26740/ja.v7n1.p139-142

Abstrak Latar belakang. Optimalisasi tumbuh kembang anak merupakan salah satu upaya prioritas dalam mempersiapkan anak Indonesia generasi yang berkualitas. Keluarga mempunyai peran penting dalam menyiapkan anak mencapai tumbuh kembang optimal, melalui stimulasi dan pemantauan tumbuh kembang dengan menggunakan buku KIA. Di Jawa Timur, kepemilikan buku KIA sudah di atas 80% (Kemenkes RI, 2018), namun Kepemilikan buku KIA belum diimbangi dengan pemahaman isinya serta pemanfaatannya oleh ibu. Tujuan pengabdian kepada masyarakat ini adalah meningkatkan pemahaman keluarga tentang buku KIA sebagai upaya optimalisasi tumbuh kembang balita. Metode. Metode yang digunakan adalah wawancara konseling, dengan sasaran keluarga (ibu) yang mempunyai anak bayi dan balita. Jumlah sasaran 30 keluarga. Hasil. Pertumbuhan balita sebagian besar (83%) status gizi (BB/T) normal, Sebagian besar (77%) status gizi berdasarkan TB/Umur kategori normal. Hampir seluruhnya (97%) perkembangan sesuai usia. Setelah dilakukan konseling terdapat peningkatan pengetahuan ibu tentang pemanfaatan buku KIA dalam upaya optimalisasi tumbuh kembang dari 87% menjadi 100% berpengetahuan baik, dari 97% sikap positif menjadi seluruhnya 100% sikap positif, dan dari 83% Tindakan sesuai dalam pemanfaatan buku KIA, menjadi 97% sesuai. Konseling yang diberikan dapat meningkatkan pengetahuan, sikap dan Tindakan ibu dalam pemanfaatan buku KIA. Kata Kunci: Pemberdayaan, Buku KIA, Tumbuh Kembang Bayi dan Balita. Abstract Background. Optimizing child growth and development is one of the priority efforts in preparing quality generations of Indonesian children. Families have an important role in preparing children to achieve optimal growth and development, through stimulation and monitoring of growth and development using the MCH Handbook. In East Java, ownership of KIA books is above 80% (Ministry of Health RI, 2018), but ownership of MCH books has not been matched by understanding the contents and their use by mothers. The purpose of this community service is to increase family understanding of the MCH book as an effort to optimize the growth and development of toddlers. Method.The method used is interview counseling, targeting families (mothers) who have babies and toddlers. The target number is 30 families. Result. Most of the children under five (83%) had normal nutritional status (BW / T). Most (77%) nutritional status based on TB / age was normal. Almost all (97%) developed according to age. After counseling was carried out, there was an increase in the mother's knowledge about the use of MCH books in an effort to optimize growth and development from 87% to 100% good knowledge, from 97% positive attitudes to 100% positive attitudes, and from 83% appropriate actions in the use of the KIA book, to 97 % corresponding. The counseling provided can increase the knowledge, attitudes and actions of mothers in the use of the MCH book. Keywords: Empowerment, MCH Handbook, Infant and Toddler Growth.

Pemberdayaan Keluarga dalam Deteksi Tanda Bahaya Bayi Baru Lahir dengan Buku Kia Sukesi Sukesi; Sri Utami; Rekawati Susilaningrum
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 5, No 9 (2022): Volume 5 No 9 September 2022
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v5i9.6877

ABSTRAK Bayi baru lahir (BBL) merupakan periode kritis pada awal kehidupan. Jika orang tua tidak waspada dan tidak mengenali tanda bahayanya, bisa berakibat fatal. Untuk mencegah kondisi ini, ibu perlu memahami buku KIA yang telah dimiliki. Dalam hal ini, kepemilikan buku KIA ini belum seiring dengan pemahaman isinya. untuk meningkatkan pemahaman buku KIA melalui pemberdayaan keluarga dalam deteksi tanda bahaya BBL. Metode yang digunakan dalam kegiatan pengabdian masyarakat ini adalah dengan memberikan pelatihan kepada orang tua tentang deteksi tanda bahaya pada bayi baru lahir. Sasaran kegiatan adalah ibu hamil di wilayah Puskesmas Sidotopo Surabaya. Metode yang digunakan dalam pelatihan ini adalah ceramah, tanya jawab, diskusi, simulasi dan demontrasi. Jumlah sasaran 30 orang. Karakteristik ibu hamil, terbanyak berusia antara 21-30 tahun (73,4%), sebagian besar sebagai ibu rumah tangga (63,3) dan lulus SMA (53,3%). Sebagaian besar ibu tidak mengalami keluhan (80%) dan berada pada trimester 3 (53%). Hampir semua ibu telah memiliki buku KIA (93,35), namun sebagian besar (76,7) jarang mempelajarinya. Setelah pelatihan, ada peningkatan pemahaman (pengetahuan) tentang tanda bahaya bayi baru lahir dengan menggunakan buku KIA. Sebelum pelatihan nilai rata-rata pengetahuan sebesar 76, setelah pelatihan menjadi 86,7. Sebagai evaluasi pelatihan, hampir seluruh ibu menyatakan sangat bermanfaat adanya kegiatan pelatihan tentang pemantauan deteksi tanda bahaya BBL. Kata Kunci: Pemberdayaan, buku KIA, Tanda Bahaya ABSTRACT Newborns (BBL) is a critical period in early life. If parents are not alert and do not recognize the danger signs, it can be fatal. To prevent this condition, mothers need to understand the MCH handbook that they already have. However, ownership of this KIA book has not been matched by understanding its contents. The purpose of the activity is to improve understanding of the MCH handbook through empowering families in detecting the danger signs of BBL. The method used is to provide training to parents about BB detection. The target of the activity is pregnant women in the Sidotopo Public Health Center Surabaya. The methods used in this training are lectures, questions and answers, discussions, simulations and demonstrations. The target number is 30 people. The characteristics of pregnant women, mostly between the ages of 21-30 years (73.4%), mostly as housewives (63.3) and graduated from high school (53.3%). Most of the mothers had no complaints (80%) and were in the 3rd trimester (53%). Almost all mothers already have MCH books (93.35), but most (76.7) rarely study them. After the training, there was an increase in understanding (knowledge) of the danger signs for newborns using the MCH handbook. Before training the average value of knowledge was 76, after training it was 86.7. As an evaluation of the training, almost all mothers stated that it was very useful to have training activities on monitoring the detection of the danger signs of BBL. Keywords: Empowerment, MCH Book, Danger Sign

Analysis of the causes of low birth weight infants in terms of nutritional status and maternal health history Sri Utami; Rekawati Susilaningrum
Jurnal Ners Vol. 17 No. 2 (2022): OCTOBER 2022
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v17i2.38318

Introduction: The incidence of low-birth-weight infants is still high and requires serious attention to prevent infant mortality. This study aimed to analyze the causes of low-birth-weight infants' nutritional status and maternal health history. Methods: This cross-sectional study was conducted in May to July 2021 at two hospitals in Surabaya. The study involved 498 mothers who had newborns within three years from 2019 and were recruited using simple random sampling. The inferential test was conducted using logistics regression with a significance level of 0.05. Results: According to the adjusted model, variables that were significantly associated with the incidence of low-birthweight infants were the husband's job as private worker (OR=0.021; 95% CI = 0.023-0.123), child number as one (OR=0.214; 95% CI = 0.114-3.428), parity as prime (OR=0.749; 95% CI = 0.197-3.652) and history of low-birth-weight infants in previous births (OR=0.015; 95% CI = 0.004-0.006). Conclusions: Individual and family factors remand an essential variable in low-birth-weight prevalence. Nurses are responsible for providing socialization to mothers and fathers who are having and planning to have children. Cultural factors in the family and community where the mother lives also need to be carried out in further research.

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