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IbM Pembentukan Kader Kesehatan Posyandu Lansia Bokoharjo Prambanan Wahyuntari, Evi; Kurniawati, Herlin Fitriani
Jurnal Pengabdian Dharma Bakti VOL 1, NO 2 (2018): AGUSTUS 2018
Publisher : Universitas Respati Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (482.861 KB) | DOI: 10.35842/jpdb.v1i2.52

Abstract

Meningkatnya derajat kesehatan dan kesejahteraan penduduk berpengaruh terhadap peningkatan usia harapan hidup (UHH). Hal ini membuat populasi lansia semakin meningkat sehingga membutuhkan perhatian khusus untuk peningkatan kualitas hidup sehingga mampu mempertahankan kesehatanya dan produktif. Masa lansia merupakan usia yang sangat rawan dalam siklus kehidupan manusia. Pada masa ini kemungkinan terjadi gangguan baik psikologis maupun fisik. Salah satunya adalah penyakit degeneratif yang banyak muncul pada usia lansia. Salah satu program dari pemerintah adalah dengan adanya posyandu lansia. Tujuan program pembentukan kader kesehatan Posyandu Lansia ini adalah untuk mengaktifkan peran kader yang sudah ada dan mengaktifkan sistem 5 meja pada pelaksanaan posyandu.Permasalahan di Pedukuhan Plempoh adalah terdapat posyandu lansia tetapi tidak aktif dan tidak ada kegiatan rutin posyandu, belum terbentuknya kader yang khusus melayani lansia, belum ada kader yang mengikuti pelatihan pelaksanaan Posyandu lansia, belum ada kader yang bisa melakukan pemeriksaan tekanan darah, pengukuran tinggi badan dan berat badan secara benar. Angka kejadian hipertensi cukup tinggi; berdasarkan data yang diambil pada tanggal 30 Juli 2017 didapatkan 16 (42,1%) dari 38 lansia mengalami hipertensi.Hasil dan luaran yang dihasilkan adalah terbentunya kader posyandu Pramudya dengan menerapkan sistem 5 meja dan kader posyandu Pramudya dapat melakukan pemeriksaan tekanan darah serta tersedia media dan alat untuk pemeriksaan kesehatan seperti modul untuk kader, KMS Lansia,  tensi meter, timbangan berat badan dan pengukur suhu.Kata kunci: Lansia, Posyandu, Kader
Pengetahuan Pendidik Sebaya Mempengaruhi Pemberian Informasi KRR di Kabupaten Kulon Progo Kurniawati, Herlin Fitriani; Shaluhiyah, Zahroh
Jurnal Promosi Kesehatan Indonesia Volume 9, No. 2, Agustus 2014
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (41.956 KB) | DOI: 10.14710/jpki.9.2.162-171

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ABSTRAKPendidik sebaya dibutuhkan untuk memberikan informasi kesehatan reproduksi remaja. Remaja lebih memilih menerima informasi dari sebayanya. Namun materi KRR yang disampaikan masih belum lengkap. Tujuan penelitian adalah menganalisis perilaku pendidik sebaya dalam memberikan informasi KRR pada siswa SMA di Kabupaten Kulon Progo DIY. Metode Penelitian ini termasuk dalam penelitian kuantitatif (explanatory research) dengan desain cross sectional. Populasi dalam penelitian ini adalah pendidik sebaya di SMA di Kabupaten Kulon Progo Daerah Istimewa Yogyakarta sebanyak 81 orang dengan pengambilan sampel menggunakan total sampling. Instrumen pengambilan data berupa angket. Data dianalisis secara univariat, bivariat dan multivariat. Hasil penelitian menunjukkan pendidik sebaya yang berperilaku baik dalam memberikan informasi KRR (51.9%) dan yang berperilaku baik (48.1%). Perilaku pendidik sebaya dalam memberikan informasi KRR dipengaruhi oleh pengetahuan tentang kesehatan reproduksi remaja (OR=2.972), ketersediaan sarana yang mendukung pendidik sebaya dalam memberikan informasi KRR (OR=2.886). BPMPDP dan KB perlu mengadakan penyegaran materi KRR serta meningkatkan advokasi dan sosialisasi dengan kepala sekolah.Kata kunci : pendidik sebaya, perilaku, pemberian informasi KRRABSTRACTPeer Educators’s Knowledge Influencing Giving Information about Adolescent Reproductive Health in Kulon Progo; Peer education are needed to provide information on adolescent reproducyive health (ARH) to peers. Teens prefer to receive reproductive health information from peers. But ARH material presented by peer educators still incomplete. The objective is to determine the behavior of peer educators in providing reproductive health information to adolescents in high school students in Kulon Progo District of Yogyakarta. This research is a part of explanatory research with cross sectional design. The population in this study was peer educators in high school in Kulon Progo district of Yogyakarta as many as 81 people, sample of this research is the number of total population. Data collection instruments such as questionnaires. Data was analyzed by univariate, bivariate and multivariate analyzes.The results showed that peer educators well behave in providing information on ARH (51.9%) and were well missbehaved (48.1%). Peer educators behavior influenced by the knowledge adolescent reproductive health (OR=2.972), availability of facilities that support peer educators in providing information (OR=2.886. Advice for Department of Community, Village Governance, Women and Family Planning (BPMPDP dan KB) in Kulon Progo district of Yogyakarta to hold refreshing material ARH and assignments for peer educators and to increase an advocacy and socialization to the principal.Keywords: peer educators, behavior, giving information ARH
A Qualitative Study on the Breastfeeding Experiences of Young Mothers Astuti, Andari Wuri; Kurniawati, Herlin Fitriana; Kurniawati, Herlin Fitriani
Nurse Media Journal of Nursing Vol 11, No 1 (2021): (April 2021)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v11i1.33539

Abstract

Background: Breastfeeding practice for young mothers could be problematic, especially when supports are absent. Evidence reported that young mothers have risks of experiencing mental health problems and of behavioural problems in their children. Data showed that 36 per 1,000 childbirth occurred among Indonesian female adolescents aged 15-19 during 2018. Nevertheless, the breastfeeding experience of young mothers has not been well studied, particularly in the Indonesian context. Therefore, to develop professional caring and supporting relationships, it is important to address this knowledge gap.Purpose: This study aimed to explore the experiences of breastfeeding practices among Indonesian young mothers.Methods: A qualitative exploratory study was employed, and one-to-one in-depth interviews were conducted on 18 young mothers between May until August 2019. Data analysis was guided by Colaizzi’s thematic approach.Results: Four key themes emerged from the qualitative data, i.e., formal support of breastfeeding, the role of family, partner and peers, culture and judgement, and future aspirations and healthcare. Indonesian young mothers sought formal information on breastfeeding from healthcare providers. However, there was a lack of translation into practices due to lack of supports from partners, cultural beliefs, and parents' interference, which consequently led to the failure of breastfeeding. Indonesian young mothers were suggesting that breastfeeding information should also be provided to their circle of supports, such as partners and close relatives. Conclusion: Indonesian young mothers experienced complex situations through their journey of breastfeeding practices. A tailored maternity health service involving partners, parents, and communities into culture-sensitive programme intervention is needed to provide professional caring, and reliable supportive sources of breastfeeding for young mothers. 
Identification of Adolescent Reproductive Health Information Needs Using The Perspective of Adolescents With A Pregnancy Experience Herlin Fitriani Kurniawati; Herlin Fitriana Kurniawati
Jurnal Kebidanan Vol 11, No 1 (2022): JURNAL KEBIDANAN
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/jk.11.1.2022.47-62

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Adolescence is a transitional period from childhood to adulthood. During this period, both physical and psychological conditions change. Adolescent pregnancy causes a higher risk for negative outcomes in terms of both physical and psychosocial aspects to the pregnant girl, baby, and husband. The research aimed to identify information needs for adolescent reproductive health using the perspective of adolescent with a pregnancy experience. The research used a qualitative design. The results of the study were divided into three themes, namely knowledge of adolescent reproductive health, access to reproductive health information, and reproductive health service providers. All the informants were under 20 years of age. In terms of education, most of the informants did not graduate from high school; even some of them graduated only from elementary school. In terms of knowledge about adolescent reproductive health, it was shown that adolescents did not have a comprehensive understanding of reproductive health, including reproductive organs and the process of pregnancy. Most of the informants thought that reproductive health was the health condition related to only the genital organs. They felt embarrassed to ask questions to their parents and they wanted to try something new. In terms of access to adolescent reproductive health services, access to information about reproductive health was still limited and there was a lack of information about how to access information about reproductive health. In addition, all of the informants said they did not know other programs due to lack of publications. Meanwhile, in terms of information needs for adolescent reproductive health, all the informants mentioned the need for information about adolescent reproductive health. These informants said that the presence of adolescent reproductive health information could prevent adolescent pregnancy. In terms of service recommendation, it can be in the form of continuous socialization at schools by teachers and health workers as well as consulting services at schools or at health centers.
Gambaran Penggunaan Internet Dalam Pencarian Informasi Tentang HIV dan AIDS pada Remaja Herlin Fitriani Kurniawati
Jurnal Kebidanan Vol 8, No 1 (2019): JURNAL KEBIDANAN
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (383.28 KB) | DOI: 10.26714/jk.8.1.2019.27-37

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Kasus HIV dan AIDS mengalami trend peningkatan sedangkan masih rendahnya pengetahuan remaja menjadikan masalah terhadap penanganan kasus HIV dan AIDS, dimana ada periode tersebut merupakan periode mencoba-coba. Tujuan dari penelitian ini untuk mengetahui gambaran Penggunaan Internet Dalam Pencarian Informasi Tentang HIV Dan AIDS Pada Remaja. Metode penelitian menggunakan pendekatan kualitatif, jenis penelitian deskriptif analitik, pendekatan waktu cross sectional. Subjek penelitian ini adalah remaja yang mengakses informasi tentang HIV dan AIDS menggunakan media internet minimal dalam 6 bulan terakhir dan bersedia untuk menjadi responden dalam penelitian. Teknik pengambilan sampling dengan purposive sampling. Hasil penelitian didapat bahwa pengetahuan tentang HIV dan AIDS masih kurang terutama pada tanda dan gejala serta penularan dari HIV dan AIDS, masih terdapat stigma terhadap orang dengan HIV dan AIDS. Semua informan mengatakan mendukung dalam pencarian informasi tentang HIV dan AIDS melalui media internet. Semua informan mengatakan akses dalam pencarian informasi tentang HIV dan AIDS sangatlah mudah, biaya dalam pencarian informasi tentang HIV dan AIDS terjangkau. Semua informan mengatakan menggunakan internet atas inisiatif sendiri, sebagian besar informan mengatakan menggunakan internet kurang lebih 2-5 jam perhari, rata-rata menggunakan internet sejak lebih dari 2 tahun yang lalu. Sebagian besar responden mengatakan sudah pernah mencari informasi mengenai HIV dan AIDS walaupun tidak intens hanya apabila mereka membutuhannya. Saran bagi kader kesehatan diharapkan dapat mengusulkan untuk pembentukan Bina Keluarga Remaja (BKR) atau Pusat Informasi dan Konseling Kesehatan Reproduksi Remaja (PIK-KRR) dengan bekerja sama dengan Kecamatan dan BKKN Kabupaten.
Teenagers’ Decision Making About Abortion As An Action To Terminate Unwanted Pregnancy Fatya Nurul Hanifa; Anjarwati; Herlin Fitriani Kurniawati
Jurnal Kebidanan Midwiferia Vol 6 No 2 (2020): Oktober
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/midwiferia.v6i2.616

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Unwanted pregnancy and pregnancy termination generally occurs in adolescents who want to prevent or delay childbirth and have limited access to contraception. Women and girls have unmet contraceptive needs, so that unwanted pregnancies and unsafe abortions are considered normal. The latest data states that 7% of girls aged 15 to 19 will become pregnant and 2% of girls in this age group will have an abortion. Decision making for women before carrying out intentional abortions is influenced by several factors including individual level factors namely marital status, education level, economic independence and whether the woman is a victim of rape or incest. Interpersonal factors such as parent and partner support are also found as influences in decision making, because they have social determinants such as religion and social stigma and norms that exist. The aim of this study was to find out how adolescents make decisions about abortion as an end to unwanted pregnancies.
Adolescent Reproductive Health Service in Accessing HIV and AIDS Information Herlin Fitriani Kurniawati; Herlin Fitriana Kurniawati
Jurnal Kebidanan Midwiferia Vol 8 No 1 (2022): April
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/midwiferia.v8i1.1318

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Adolescent reproductive health problems are very complex, one of them is HIV and AIDS. Adolescent Reproductive Health Service (PKPR) in Public Health Center the aims to increase adolescent knowledge about adolescent healthy behavior including reproductive health. The research aimed to identify utilization of Adolescent Reproductive Health Service in acces HIV and AIDS information in Kulon Progo. The research used a quantitative design, The population in the research is senior high school students. The sampling technique was simple random sampling with a sample of 125 respondents. The data collection instrument in this quantitative study was a questionnaire using google form, the data was processed using the steps of editing, coding, tabulating and analysis. The results showed that 73% of respondents had good knowledge, 60% of respondents had poor knowledge of PKPR Puskesmas and 56% of respondents used PKPR services for adolescents. The provision of adolescent reproductive health services is in accordance with the needs of adolescents and it is necessary to increase the promotion of adolescent reproductive health services so that they are more familiar with and can access services.
FACTORS INFLUENCING MATERNAL LABOR COMPLICATION IN KUTAI KARTANEGARA REGION Widya Astutik; Djaswadi Dasuki; Herlin Fitriani Kurniawati
Belitung Nursing Journal Vol. 4 No. 5 (2018): September - October
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (249.038 KB) | DOI: 10.33546/bnj.364

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Background: To decrease maternal mortality rate until 70 per 100,000 living birth in 2030 (SDG’s) has become the health priority. In fact, the maternal mortality rate in Indonesia is still very high, and almost two-third maternal mortality is caused by maternal labor complications. Objective: The objective of the study was to investigate the factors influencing maternal labor complications in Kutai Kartanegara Region Indonesia in 2017. Methods: This was a correlational study with cross sectional design. The populations in the study were women who had labor process in the area of Kutai Kartanegara Region. There were 95 respondents selected using purposive sampling. Data were collected using questionnaires and medical records. Chi-square and logistic regression were used for data analysis. Results: Most of the respondents had maternal labor complication (53.7%). The highest complication occurred was prolonged labor (58.9%). Factors influencing maternal labor complication were antenatal care, mother’s age, education level, parity, and distance of pregnancy. Age was identified as the most dominant variable influencing maternal complication, with the value of OR was 5.837, which indicated that high-risk-age mothers have 5.837 times of labor complication than mothers with no risk age. Conclusion: Antenatal care, age, education, parity and distance of pregnancy had correlation with maternal labor complications, and its most dominant variable was age.
STUDI TENTANG POLA ASUH, PUSAT INFORMASI DAN KONSELING KESEHATAN REPRODUKSI REMAJA (PIK-KRR) DAN KEJADIAN KEHAMILAN REMAJA Anjarwati Anjarwati; Andari Wuri Astuti; Herlin Fitriana Kurniawati; Herlin Fitriani Kurniawati; Desy Nuri Fajar Ning Tyas
Jurnal Ilmiah Bidan (JIB) Vol 4 No 1 (2019)
Publisher : Ikatan Bidan Indonesia (IBI)

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Kabupaten Gunungkidul, merupakan kabupaten yang mempunyai angka kehamilan remaja sebanyak 310 pada tahun 2016, 220 diantaranya merupakan kehamilan pra nikah. Penelitian ini bertujuan untuk menggali gambaran dan pengalaman orang tua dan remaja mengenai pola asuh, pelayanan kesehatan reproduksi remaja, dan kehamilan remaja sebelum nikah. Desain penelitian adalah exploratory sequential-mixed methods, terdiri dari fase penelitian kuantitatif dan fase penelitian kualitatif. Hasil penelitian menunjukkan mayoritas responden menyampaikan bahwa pola asuh orang tua menurut remaja dan orang dalam kategori demokratis yaitu 65% dan 85%. Pengetahuan terhadap PIK-KRR, berdasarkan perspektif remaja dan orang tua mayoritas menunjukkan bahwa responden memiliki pengetahuan baik yaitu sebesar 85% dan 60%. Mayoritas responden juga menunjukkan sikap baik terhadap PIK-KRR dari remaja dan orang tua, yaitu 90% dan 70%. Pada fase kualitatif didapatkan 6 tema yaitu“tidak ada yang mengekang”, diskusi tentang masalah kesehatan reproduksi remaja; informasi terkait dengan pelayanan kesehatan reproduksi remaja; hubungan sexual sebelum menikah dan kehamilan tidak diinginkan; konsekuensi dari kehamilan; dan dukungan dan harapan. Pola asuh orang tua bukan menjadi satu-satunya determinan yang menyebabkan kehamilan itu terjadi tetapi ada faktor lain seperti peer influence, kurangnya pengetahuan tentang kesehatan reproduksi, ketidaktersediaan akses pelayanan kesehatan reproduksi remaja dan tidak adanya keterlibatan orang tua dalam program-program intervensi untuk pencegahan kehamilan pra nikah pada remaja. Diperlukan model inovasi dan strategi untuk meningkatkan kesadaran masyarakat terhadap kesehatan reproduksi remaja sebagai upaya menurunkan angka kehamilan remaja.
PENGETAHUAN DAN KEBUTUHAN INFORMASI TENTANG HIV/AIDS PADA MASA PRA KONSEPSI Herlin Fitriani Kurniawati
Jurnal Kebidanan Indonesia Vol 13, No 2 (2022): JULI
Publisher : STIKES Mamba'ul 'Ulum Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36419/jki.v13i2.630

Abstract