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Knowledge on Breastfeeding and Breastfeeding Behavior among Working Mothers and Housewives : A Cohort Study Nurhasmadiar Nandini; Novia Handayani; Djazuly Chalidyanto; Widodo Jatim Pudjirahardjo; Nuzulul Kusuma Putri
Journal of Public Health for Tropical and Coastal Region Vol 2, No 1 (2019): Journal of Public Health for Tropical and Coastal Region
Publisher : Public Health Faculty, Diponegoro University, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (14.069 KB) | DOI: 10.14710/jphtcr.v2i1.3941

Abstract

Background : Surabaya is one of the cities with low coverage of exclusive breastfeeding in East Java. The average rate of babies who got exclusive breastfeeding in Surabaya from 2012 to 2015 was 63.13% (target 80%). Decision about whether to breastfeed or not is a challenge for every mother, especially for working mothers. This research aimed to identify breastfeeding behavior among working mothers and housewives.Methods : This was descriptive observational research with prospective cohort study design.The sample size was 79 mothers in the eastern part of Surabaya chosen by purposive sampling technique.Results : Result showed that 56.6% of housewives have low knowledge on breastfeeding. Both working mothers (100%) and housewives (90.6%) already give colostrum right after baby born. However, There were 54.7% of housewives and 46.2% of working mothers already give formula milk during the first month after baby born.Conclusion : There were not much difference between working mothers and housewives in knowledge, feeding colostrum and skin to skin contact aspects. But, working mothers mostly give formula milk during the first month of baby born than housewives.
The Need for Gender-Responsive Policy During The COVID-19 Pandemic: A Literature Review Fransiska Pangesti A; Nuzulul Kusuma Putri
Media Gizi Kesmas Vol. 11 No. 1 (2022): Juni 2022
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v11i1.2022.291-297

Abstract

Background: Covid-19 has infected more than million of people globally. The Covid-19 pandemic has an impact in various aspects including gender. Pandemic Covid-19 are increasing the gender gap in terms of employment, income, and household responsibility. This provide that Covid-19 pandemic is not gender-neutral.  Objectives: This study aims to identify the issues in promoting gender-responsive policy during the COVID-19 pandemic between women and men.Methods: This is a literature review of original articles discussing the need for gender-responsive policy during the COVID-19 pandemic. At least ten original articles obtained from Scholar Google were synthesized in this literature review.Discussion: Restrictions on mobility and activity during the pandemic have an impact on woman in social and economy term such as declining income, job loss, and increased burden of dual roles. The integration of gender mainstreaming can be a responsive way to overcome this problem. In this cases, several possible policies that will be evaluated predominantly are social protection for the community who identified as COVID-19 impacted and employee adjustment and well-being in the era of COVID-19 and post COVID-19.Conclusions: This detailed analysis of the intersection of these economic losses and gender-responsive policy are needed to correct the inequalities of economic productivity experienced by different sexes. The results of the analysis will help policymakers to be able to formulate what programs are gender-responsive in overcoming gender inequality during the pandemic.
Faktor-Faktor yang Berhubungan Dengan Kelengkapan Imunisasi Dasar di Kabupaten Bojonegoro Putri Retno Asih; Nuzulul Kusuma Putri
Media Gizi Kesmas Vol. 11 No. 1 (2022): Juni 2022
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v11i1.2022.72-78

Abstract

Latar Belakang: Imunisasi adalah suatu program dalam upaya pencegahan terjangkitnya penyakit tertentu dengan meningkatkan kekebalan tubuh terhadap suatu penyakit sehingga dapat menurunkan angka kesakitan dan kematian pada bayi dan balita. Imunisasi dasar lengkap diberikan kepada bayi usia 0-12 bulan secara rutin dan terjadwal.Tujuan: Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan status kelengkapan imunisasi dasar pada bayi usia 0-12 bulan di Kabupaten Bojonegoro.Metode: Penelitian ini merupakan penelitian deskriptif observasional dengan desain cross sectional. Penelitian ini dilakukan di Kabuapaten Bojonegoro dengan populasi seluruh ibu yang bertempat tinggal di Kabupaten Bojonegoro.Hasil: Hasil penelitian yang telah dilakukan menunjukkan bahwa mayoritas sebanyak 85,9% responden telah memberikan imunisasi dasar yang lengkap pada bayinya. Berdasarkan hasil uji statistik chi square menunjukkan bahwa usia ibu, pendidikan ibu dan paparan sumber informasi memiliki nilai p-value=0,000<0,05, sedangkan status pekerjaan ibu memiliki nilai p-value=0,064>0,05.Kesimpulan: Kesimpulan dari penelitian ini adalah usia ibu, pendidikan ibu, dan paparan sumber informasi berhubungan dengan kelengkapan imunisasi dasar di Kabupaten Bojonegoro.Kata Kunci: Faktor, Imunisasi dasar lengkap, kesehatan
MATERNAL DEATH, QUALITY SERVICES, AND MENTAL HEALTH: A CYCLE OR REPEATED EPISODE ? Nuzulul Kusuma Putri
Indonesian Journal of Health Administration Vol. 10 No. 1 (2022): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v10i1.2022.1-2

Abstract

Maternal issues are classic issues in every edition of the Indonesian Journal of Health Administration. In this issue, our authors, Fatmaningrum et al. (2022), revealed how the COVID-19 pandemic had increased the number of maternal deaths. Research conducted by Ernawaty and Sri (2022) again shows how big the risks Indonesian women must bear during pregnancy and childbirth are. Not only are they risking their lives because they have to give birth to children, but once discharged from treatment, they still have to be faced with high delivery costs. The National Health Insurance does help a lot, but who will help JKN from a deficit if there are many cases of diseases that require huge costs. A systematic review conducted by Muhlis (2022) found that the low level of participation in the JKN program was due to various multidimensional factors. This factor is not only related to the ability to pay contributions, but many are due to individual and environmental internal factors.
Mendesain Intervensi Kesehatan dengan Memanfaatkan WhatsApp untuk Mencegah Stunting pada Balita Selama Masa Pandemi COVID-19 Rizky Puspitarini; Nuzulul Kusuma Putri; Lies Permana
Jurnal Kesehatan Komunitas Vol 8 No 3 (2022): Jurnal Kesehatan Komunitas
Publisher : LPPM Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol8.Iss3.1240

Abstract

Stunting case in Indonesia is still high, so the provision of complete health information for toddler health is extremely needed during the COVID-19 pandemic. Therefore, this study aims to design a health information service online by using WhatsApp to prevent toddler stunting in the rural community. This study was action research in which a co-design methodology was used to design the health information service. This study involved the health front, midwifery, nutritionist, and village apparatus in which they were interviewed and followed focus group discussion (FGD). In addition, the USE questionnaire was used to measure the effectiveness of the health information service that had been designed. The results of the interview and FGD showed that rural people knew more about the use of WhatsApp than other online communication platforms. In addition, during the COVID-19 pandemic, there were a number of health programs that would be stopped. As a consequence, online interactive health information service was extremely needed to promote the sustainability of health programs in the rural community. Furthermore, the results of the USE questionnaire showed the average percentage of usefulness, ease of use, ease of learning, and satisfaction of the online health information service was 85,43%. This indicates that the hotline stunting program (INSTING), an online health information service, is extremely eligible to be applied in the rural community in conducting communication regarding health information during the COVID-19 pandemic.
Smoking as a health problem: A priority-setting study in a tobacco industry dependent village Nuzulul Kusuma Putri; Riris Diana Rachmayanti
Public Health and Preventive Medicine Archive Vol. 7 No. 2 (2019)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2019.v7.i2.p10

Abstract

Background and purpose: Indonesia is one of the most cigarettefriendly countries. The tobacco industry has gained economic dependence both nationally and domestically. Baureno Village in Indonesia has more than half of its population relied their life on the tobacco industry for long time. This study analysed how this high tobacco dependent community considered the smoking behaviour as one of prioritized health problems. Methods: This priority-setting study was conducted in quantitative and qualitative phases sequently. The quantitative data on smoking behaviour were collected on 251 households as the samples. This study captured the twelve healthy family indicators issued by The Indonesia Ministry of Health. Further, this data were brought into two different focus group discussions with community leaders and primary healthcare workers to understand how this community considered smoking as a health problem. Their prespective on prioritized health problem was revealed by performing a prioritysetting analysis. Results: Smoking behaviour in cigarette producing areas is the impact of the economic dependence created by the tobacco industry. Ease of access and weak supervision of cigarette distribution in producing cigarette region caused smoking behaviour to be common place in this community group. Community considered smoking as a bottom priority of health problems, while health workers considered smoking as the second priority out of four identified health problems. Conclusion: Community and health workers have a different prioritized health problems. Education to community should be enhanced to increase their awareness on the health impacts of tobacco smoking.
DETERMINAN SOSIAL STUNTING PADA MASYARAKAT PEDESAAN SELAMA PANDEMI COVID-19 Wardah Tsamara Azzahla; Nuzulul Kusuma Putri
JKM (Jurnal Kesehatan Masyarakat) Cendekia Utama Vol 10, No 2 (2022): JKM (Jurnal Kesehatan Masyarakat) Cendekia Utama
Publisher : STIKES Cendekia Utama Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31596/jkm.v10i2.1048

Abstract

Pandemi COVID-19 menyebabkan berbagai perubahan di tatanan masyarakat tak terkecuali kebijakan pemerintah yang membatasi program kesehatan, salah satunya upaya penurunan stunting. Desa Drokilo yang memiliki sejumlah 15 balita stunting dengan prevalensi 7,5% per 2021 ditunjuk sebagai lokasi fokus stunting. Penelitian bertujuan menganalisis determinan sosial stunting yang dialami masyarakat pedesaan selama Pandemi COVID-19. Studi kualitatif dengan in-depth interview secara jarak jauh melalui video call bersama bidan desa dan kader posyandu. Wawancara dilakukan semi-structured yang mengacu pada kerangka PRECEDE-PROCEED. Analisis data dilaksanakan dengan metode content analysis dengan pendekatan deduktif. Kasus stunting yang terus terjadi diakibatkan kurangnya sumber dana untuk sejumlah kader posyandu, rendahnya pengetahuan serta kesadaran ibu, dan tingkat ekonomi yang rendah. Di samping itu, perubahan bermakna yang terjadi selama pandemi COVID-19 ialah tidak terselenggaranya upaya penurunan stunting yang biasa dilaksanakan. Berdasarkan in-depth interview, ditemukan bahwa ketiadaan posyandu, kelas ibu hamil, dan program positive defiance menjadi faktor penyebab terjadinya stunting di kala pandemi COVID-19. Hal ini diakibatkan fokus kebijakan dan pendanaan pemerintah desa yang lebih mengutamakan penanganan COVID-19. Determinan sosial stunting di Desa Drokilo di kala pandemi COVID-19 adalah fokus dan keberpihakan kebijakan pemerintah desa yang tidak seimbang dan lebih menitikberatkan pada penanganan COVID-19. Hal tersebut mempengaruhi prevalensi stunting di Desa Drokilo selama pandemi COVID-19 yang naik
Potensi Penggunaan Whatsapp-Delivered Health Intervention pada Program Pencegahan dan Pengendalian Stunting di Pedesaan Dita Ulfatun Nadifah; Nuzulul Kusuma Putri
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 12 No 2 (2022): Jurnal Ilmiah Permas: jurnal Ilmiah STIKES Kendal: April 2022
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (328.336 KB)

Abstract

Dampak pandemi salah satunya adalah kasus stunting yang belum memenuhi target RPJMN 2020-2024 (14%). Kasus tersebut juga masih tinggi di pedesaan. Sedangkan penyuluhan terkait dengan pencegahan dan pengendaliannya tertunda akibat kebijakan masa pandemi. Tujuan penelitian ini adalah untuk menganalisis potensi penggunaan whatsapp dalam program pencegahan dan pengendalian stunting di pedesaan. Metode penelitian ini dengan mixed-method study memanfaatkan Logical Framework Approach untuk penjelasan secara komprehensif. Pengumpulan data dilakukan melalui dua tahap, yaitu wawancara dan pengisian USE Questionnaire. Selanjutnya dilakukan content analysis dengan mengelompokkan hasil wawancara berdasarkan tantangan yang ditemui pada komponen struktur dan proses. Hasil penelitian menunjukkan bahwa INSTING (Hotline Stunting) merupakan program yang layak diterapkan khususnya di pedesaan dengan perolehan rata-rata persentase nilai dari keempat dimensi (Usefullness, Ease of Use, Ease of Learning, Satisfaction menunjukkan angka 85,43%. Terdapat beberapa kendala pada komponen input (kebutuhan sumber daya yang kurang ; waktu dan kondisi yang tidak mendukung) sehingga proses pelatihan menjadi tidak maksimal.
INISIASI MANAJEMEN KESEHATAN MENTAL PADA SEKOLAH BERBASIS PESANTREN Nuzulul Kusuma Putri; Khuliyah Candraning Diyanah; Azimatul Karimah; Izzuki Muhashonah; Namira Kholifatul Pramudinta
JMM (Jurnal Masyarakat Mandiri) Vol 7, No 1 (2023): Februari
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v7i1.11711

Abstract

Abstrak: Kesehatan mental pada remaja semakin membutuhkan perhatian selama pandemi COVID-19. Sekolah didorong juga berperan dalam mengawasi kesehatan mental remaja. Sayangnya, Poskestren sebagai upaya kesehatan berbasis sekolah masih dominan berorientasi pada upaya kuratif kesehatan fisik. Pengabdian kepada masyarakat ini dilakukan untuk menginisiasi kapabilitas sekolah dalam mengelola pelayanan kesehatan jiwa di Poskestren Al Amin sekaligus meningkatkan kesadaran siswa tentang perilaku di sekolah yang dapat memicu masalah kesehatan mental. Menggunakan konsep pendampingan dimana tim pengabdian masyarakat membantu mitra untuk dapat secara mandiri mengidentifikasi masalah kesehatan mental yang ada dan menentukan bentuk intervensi yang paling tepat. Hasilnya, dalam pengabdian masyarakat ini Poskestren mampu mengelola kesehatan mental secara mandiri melalui proses di setiap pengabdian masyarakat. Capaian keberhasilannya adalah 100% pada setiap langkah dan melebihi target hingga 145% pada langkah deliver. Instrumen yang digunakan dalam pendampingan juga membantu Poskestren dalam menilai dan mengidentifikasi kesehatan mental. Pengabdian kepada masyarakat telah berhasil merumuskan penyesuaian yang diperlukan untuk menginisiasi manajemen kesehatan jiwa sekolah berbasis pesantren. Abstract: Mental health among teenagers is gaining more attention todays. Schools are encouraged to be able provide monitoring function for this issue. However, Poskestren as school based health effort is still curative physical health oriented. This community service is carried out to initiate school’s capability in managing mental health services at the Al Amin Poskestren and at the same time increase students’ awareness on daily behaviour which could triggering mental health problems. It used the concept of mentoring where the community service team helps partners to be able to independently identify existing mental health problems and determine the most appropriate form of intervention. As the results, in this community service, Poskestren was able to manage mental health independently through the process in every community service. We achieved 100% target in each steps and exceeded 145% on deliver step’s target. The instruments used in mentoring also assist Poskestren in assessing and identifying mental health. Community service has succeeded in formulating the adjustments needed to initiate the mental health management of pesantren-based schools. 
SYSTEMATIC REVIEW: FACTORS AFFECTING NURSE’S WORK STRESS IN HOSPITAL EMERGENCY ROOM DURING THE COVID-19 PANDEMIC Dian Putri Suryati; Nuzulul Kusuma Putri; Normala Ibrahim
Journal of Public Health Research and Community Health Development Vol. 6 No. 2 (2023): March
Publisher : Sekolah Ilmu Kesehatan Dan Ilmu Alam (SIKIA), Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jphrecode.v6i2.34422

Abstract

ABSTRACT Background: The COVID-19 pandemic has claimed millions of lives worldwide and caused a severe impact in all aspects of human life. Healthcare workers have important roles in improving the health status of the community and thus face high demand to continue to provide optimal integrated services for the community. Nurses who formed the largest group of healthcare workers have been reported to experience the high pressures and demands due to the pandemic which led to increased work stress levels. Purpose: This study aimed to identify the factors that influence work stress on nurses at the hospital's Emergency Room service during the COVID-19 pandemic. Method: This is a literature review with a population of 75 articles with the keywords used : "Work Stress", "Emergency Room" "Nurse", "Pandemic Covid-19". After going through the screening process using the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) method and analyzing with PICO (Population, Intervention, Comparison, Outcome), 9 reference articles were analyxed. Results: The research that has been carried out in various countries showed that the factors which drove nurses' work stress came from the internal factors of nurses and the work environment, that was the hospitals. Conclusion: The factors that drive nurses’ work stress consists of individual factors and organizational factors.