International Seminar of Gender Equity Maternal and Child Health 2021-07-30T07:47:13+00:00 Nita Ike Dwi Kurniasih Open Journal Systems <p>Health is a human right and an element of welfare that is realized following the ideals of the Indonesian people. Public health degree is still not optimal influenced by environmental conditions, community behavior, health services, and genetics (Kemenkes RI, 2017). Efforts to improve public health, especially family health, require women empowerment as part of community empowerment. Women empowerment to have an awareness of themselves as whole human beings and their position in their culture. Women need to be involved in planning, implementing program activities, and evaluating and analyzing development impacts (Rosalia, 2015). Women empowerment through active participation will generate benefits for the welfare of women and their families (Indriyati and Nugrahani, 2013).</p> <p>Improving the quality of women is the basis for creating sustainable development for a nation. Therefore, it is necessary to empower women to have an awareness of themselves as whole human beings and their position in their culture. This empowerment is carried out by promoting health education, one of which is through seminars. In essence, health development is directed towards attaining awareness, willingness, and ability to live a healthy life for everyone, concerning physically, mentally, as well as socio-culture and economy. In order to achieve an optimal degree of health, various efforts are made to provide comprehensive, targeted, and sustainable health services. Maternal and child health problems are optimized by empowering women in the family. One form of cross-sectoral cooperation from the education and health sectors is to become a facilitator who is expected to increase women's knowledge as family educators, especially in efforts to improve maternally, child, and family health. Especially in the era pandemic of the Covid-19, women play a chief role. Women's role is also one of the keys to success in reducing the spread of covid-19. Data have shown that increasing covid-19 cases in Indonesia is due to transmission in the family cluster and has a significant impact mainly for vulnerable groups such as women, children, toddlers, people with disabilities, and the elderly.</p> <p>Based on those rationales, Midwifery Department of Sekolah Tinggi Ilmu Kesehatan Kuningan is conducting the first International Seminar titled "Empowerment of Women in Family Health"<br><br>This Activity aims to enhance discourses and develop innovative thinking around maternal health: Global Perspective, discussing specifically the concept of women's empowerment, women's equality in various activities (Political and economic activities to support gender-based services), and the role of midwives in empowering women or related to Inspiring Woman</p> THE EFFECT OF PROVIDING EDUCATION USING ONLINE MEDIA FOR PREGNANT WOMEN ON MOTHER'S KNOWLEDGE, SUCCESS OF BREASTFEEDING ONLY FOR ONE MONTH AND MOTHER'S SELF EFFICACY 2021-07-30T05:58:09+00:00 Ririn Riyadussolihat Neli Nurlina <p>Introduction: Breastmilk is the first food for newborns and is the main nutrition for babies. The low level of exclusive breastfeeding is due to the lack of knowledge of mothers about exclusive breastfeeding. Therefore, in order for mother's knowledge to be good, it can be done by providing education about exclusive breastfeeding. The purpose of this study was to determine the effect of providing education using online media for pregnant women on the knowledge of mothers in breastfeeding, self-efficacy and the success of breastfeeding alone for one month. Methods: This study used a quasi-experimental design with a pre and post-test nonequivalent control group approach. The sampling technique used probability sampling, which consisted of 44 pregnant women in the third trimester. Collection using a questionnaire and analyzed using the chi square test with a significance level of α ≤ 0.05. Results: This study shows that there is no significant relationship between the provision of online education and maternal knowledge with a p value of 0.056 (α ≥ 0.05). There is a significant relationship between providing online education with maternal self-efficacy with a p value of 0.001 (α ≤ 0.05). There was no significant relationship between the provision of education and the success of breastfeeding for 1 month with a p value of 0.186 (α ≥ 0.05). Conclusion: It is suggested that health walkers can increase educational activities regarding exclusive breastfeeding by using any method and in an appropriate, structured and continuous way with direct or indirect interactions so that the knowledge and self-efficacy of mothers about exclusive breastfeeding will be better.</p> 2021-07-08T00:00:00+00:00 Copyright (c) 2021 THE OUTCOME OF PMTCT GUIDELINE IMPLEMENTATION TOWARDS THE PROGRAM PERFORMANCE FOR THE ELIMINATION OF HIV TRANSMISSION FROM MOTHER TO CHILD IN DENPASAR CITY 2021-07-30T06:42:25+00:00 Lely Wahyuniar <p>UNAIDS report on the level of HIV transmission from mother to child shows that Indonesia is in the highest rank in the world. This study aims to conduct rapid assessment about the full extent of PMTCT program and services in Denpasar City, Bali. This study located Denpasar City as a capital of Bali with high HIV cases and currently apply PMTCT services. The study conducted through FGDs, in-depth interview and observation in the primary health centers and hospitals. The data was validated by triangulating data from several sources. The results showed that the there is no specific local policy for PMTCT programs and services. There is no PMTCT program management guideline or SOP for PMTCT services at the Health Office and primary health centers. In Denpasar City there are already 5 primary health centers that provide comprehensive HIV and AIDS prevention and treatment services (LKB), and this includes providing PMTCT services consisting of HIV testing and ARV treatment for pregnant women. However, there is no ARV treatment for infant, this service must be obtained at general hospital through a referral mechanism. There is funding from local government (APBD) to buy diagnostic test for HIV and to capacity strengthening of human resources, but no support for further laboratory examinations. The empowerment for midwives to be involved in PMTCT program is limited, there has never been a comprehensive training on PMTCT and no empowerment of private practice midwives for PMTCT. The assistance’s activities to ensure ARV adherence is limited. There has been assistance for HIV positive mothers by NGOs in Denpasar City. Women with HIV still get stigma and discrimination from the community and health workers. There are also some challenges in data input, including error in inputting the data that need permission to edit it. It is recommended to improve: the HIV test coverage to 100% for pregnant women (for the first 90); the coverage and quality of ARV treatment (for the second 90); the capacity of PMTCT human resources; the commitment of local government; and data utilization.</p> 2021-07-08T00:00:00+00:00 Copyright (c) 2021 THE EFFECT OF HYDROTHERAPY ON THE REDUCTION OF BLOOD PRESSURE IN PREGNANT WOMEN WITH HYPERTENSION AT THE PRIMARY HEALTH CAREASTANAJAPURA CIREBON DISTRICT IN 2019 2021-07-30T06:58:51+00:00 Larasyati Sholekha Entin Jubaedah Lia Nurcahyani <p>One of the causes of maternal mortality and morbidity is pregnancy induced hypertension (PIH). One of many hypertension management in pregnancy with non-pharmacological is hydrotherapy, which is soaking the feet using warm water for 20 minutes. This study aims to determine the differences in systolic and diastolic blood pressure in the hydrotherapy group with a temperature of 40o - 43 o compared to temperatures of 37 o - 39 o. The study using Quasi-Experimental non-randomized pre-test and post-test with control design on 22 hypertensive pregnant women using purposive sampling technique. Research instruments included observation sheets, sphygmomanometer, stethoscope, and digital water thermometer. Univariate and bivariate data analysis using the Wilcoxon and Mann-Whitney tests. This study showed difference of systolic blood pressure p value 0,000 and difference of diastolic p value 0,013 (p &lt;0,05), therefore there were differences in systolic and diastolic blood pressure in the hydrotherapy group with a temperature of 40 o - 43 o compared to 37 o - 39 o. Hydrotherapy using temperature of 40 o - 43 o is better to use than temperature of 37 o - 39 o. Midwives can use hydrotherapy as an early treatment alternative for hypertensive pregnant women</p> 2021-07-08T00:00:00+00:00 Copyright (c) 2021 DESCRIPTION OF MIDWIFERY STUDENT KNOWLEDGE ABOUT 1000 HARI PERTAMA KEHIDUPAN (HPK) BASED ON MEDIA INSTITUTE OF HEALTH SCIENCES KUNINGAN 2020 2021-07-30T07:06:44+00:00 Evi Soviyati Toto Sutarto Gani Utari Tri Hardini <p>The first 1000 days of life or 1000 Hari Pertama Kehidupan (HPK) is a period starting from the beginning of pregnancy until the baby is 2 years old. Knowledge of 1000 HPK is very important for midwifery students as a benchmark for health workers in serving clients in the future. About 6 in 10 students still do not understand and know about the First 1000 Days of Life. The purpose of this study was to describe the level of knowledge of midwifery students about the first 1000 days of life based on media sources at the Kuningan College of Health in 2020. Descriptive research method with observational design, population of midwifery students of level II as many as 40 people, using a total sampling technique. Direct data collection (primary data) using a questionnaire. Data analysis using univariate analysis. The results showed that most midwifery students level II had less knowledge of 20 respondents (50%), most of the media sources for obtaining information about HPK were mostly audio-visual 32 (80%), and the level of knowledge of midwifery students level II about 1000 HPK based on media sources. as many as 17 (42.5%) had less knowledge. It is recommended that level II midwifery students get information about 1000 HPK not only through the media but can seek information from various sources, for the Midwifery Study Program to be used as evaluation material, as input for developing an additional curriculum related to 1000 HPK in the Midwifery Care course so that it can increase student knowledge.</p> 2021-07-08T00:00:00+00:00 Copyright (c) 2021 AUDIOVISUAL MEDIA INCREASES PREGNANT MOTHERS’ KNOWLEDGE AND ATTITUDE OF HEPATITIS B DURING COVID-19 PANDEMIC 2021-07-30T07:14:56+00:00 Indah Permadani Indah Permadani Rani Widiyanti Surya Atmaja Diyah Sri Yuhandini <p>During pregnancy, mothers are at very high risk of getting infected with viruses, one of the viruses is hepatitis B. Hepatitis B is transmitted through horizontal and vertical ways. The knowledge deficit on pregnant mothers toward hepatitis B caused a lot of them to be infected with hepatitis B virus. One of solutions to increase their knowledge and attitude toward hepatitis B is by giving them health education with audiovisual media. The purpose of the study was to know if there was an impact of the health education with audiovisual media on the increase of pregnant mothers’ knowledge and attitude toward hepatitis B in the working area of the Public Health Center of Waruroyom, Cirebon regency, in 2021. This research used quasi experimental methods which are pretest and posttest with control group design. Sample used in this research were 72 pregnant mothers obtained with the purposive sampling technique and the data collection used questionnaires. Based on the independent t-test on the knowledge variable, the obtained result was p value 0.00 whereas the obtained result on the attitude variable using mann-whitney was p value 0.00. Hence, there was an impact of education health with audiovisual media on the increase of pregnant mothers’ knowledge and attitude toward hepatitis B. Audiovisual media can increase pregnant mothers’ knowledge and attitude toward hepatitis B during Covid-19 Pandemic</p> 2021-07-08T00:00:00+00:00 Copyright (c) 2021 THE EFFECT OF AUDIO VISUAL AND WEBTOON EXPLANATION TO KNOWLEDGE AND ATTITUDE ABOUT THE THREE BASIC THREATS OF ADOLESCENT REPRODUCTIVE HEALTH (TRIAD KRR) ON STUDENTS OF SMAN 8 CIREBON CITY, 2021 2021-07-30T07:16:10+00:00 Diyah Sri Yuhandini Nadhifatun Khulaidah <p>The problem of adolescent reproductive health in Indonesia is about sexuality, HIV / AIDS and drugs. The problem occurs due to low knowledge of the TRIAD KRR which will affect the attitudes that adolescents will take in relation to the TRIAD KRR. The low level of knowledge occurs due to the lack of education that adolescents get about TRIAD KRR. The aim of this study was to find out the effect of providing counseling through audio-visual and webtoon on increasing knowledge and attitudes about the three basic threats to adolescent reproductive health (TRIAD KRR). This research is a quasi experimental study using a two groups pretest-posttest design approach. The research sample was students of SMAN 8 Cirebon City. The data analysis used was univariate and bivariate analysis using the Wilxocon test, paired t test and the Man-witney test. The measuring instrument used is a questionnaire. The analysis of the median pretest obtained for knowledge in the audiovisual group was 8.0000 and the posttest was 11,000. In the attitude, the median value for pretest was 36.00 and posttest was 37.00. Bivariate analysis in the audio-visual group, both knowledge and attitude, obtained p value 0.000 (&lt;0.05). In the knowledge of the webtoon group, the p value was 0.000 (&lt;0.05) and for the attitude, the p value was 0.350 (&gt; 0.05). Differences in knowledge of audio visual media with webtoon obtained p value of 0.411 and for attitude that is 0.033. There is no significant difference in knowledge through audio-visual media and webtoon but in attitude there is a difference</p> 2021-07-08T00:00:00+00:00 Copyright (c) 2021 THE EFFECT OF HEALTH EDUCATION ON PREGNANT WOMEN'S KNOWLEDGE LEVEL ABOUT COVID-19 IN MAIN CLINIC CIDENG MEDICAL CENTER REGENCY OF CIREBON IN 2020 2021-07-30T07:19:40+00:00 Fadillah Mawaddah Dyah Widiyastuti <p>Health education is an effort to convey the health message that is expected that people, groups, or individuals can gain knowledge about better health so that it can affect behavior. Video media is a health education tool used to facilitate the reception of health messages that rely on the senses of vision and hearing. Pregnant women are at considerable risk of being infected with COVID-19. There is still a low knowledge of pregnant women about COVID-19 at Cideng Medical Center Main Clinic by 40%. The purpose of this study is to analyze the differences in pregnant women's knowledge about COVID-19 before and after the provision of health education about COVID-19 at the Main Clinic of Cideng Medical Center CirebonDistrict in 2020. Research design using a quasi-experimental design with one group design pre test-post test without control design.The sampling technique used is accidental sampling. The population in this study was pregnant women, with a sample of 30 respondents.The results of the analysis with the Wilcoxon T-Test test in pregnant women before and after obtained a p-value of 0.000 from the results of the study obtained a value of p &lt; 0.05 so that the hypothesis is accepted. The average increase in the knowledge level score of pregnant women between before and after being given health education was 2.13. There is an influence of health education on the level of knowledge of pregnant women about COVID-19 at the Main Clinic of Cideng Medical Center Cirebon Regency in 2020</p> 2021-07-08T00:00:00+00:00 Copyright (c) 2021 NUTRITIONAL STATUS OF TODDLERS IN NAGARAKEMBANG VILLAGE, CINGAMBUL DISTRICT, MAJALENGKA REGENCY 2021-07-30T07:22:39+00:00 Ai Nurasiah Merisa Laora Heryanto Ila Ayatilah <p>The coverage of visits to the integrated service post for boys and girls in the village of Nagarakembang in January 2019 was 26.82%, in February it was 42.54%, in March 81.16%. The purpose of this study was to describe the nutritional status of children under five based on the frequency of visits to integrated service posts in Nagarakembang Village, Cingambul District, Majalengka Regency. This type of research is descriptive with a cross sectional design. The sampling technique is total sampling with a sample of 85 toddlers aged 25-60 months The results showed that the toddlers who often visited the integrated service posts were 47.1%. The nutritional status of children under five was mostly normal, which was 82.4%. Respondents who frequently visited the integrated service posts were mostly with normal nutritional status, namely 31 toddlers. Conclusion: There are as many toddlers who do not visit the integrated service posts as children who visit the integrated service posts and on average have nutritional status. Suggestions for mothers of toddlers must be active in visiting integrated service posts so that they have knowledge about additional food for toddlers</p> 2021-07-08T00:00:00+00:00 Copyright (c) 20021 THE CORRELATION BETWEEN LEVEL OF ANXIETY DURING COVID-19 PANDEMIC AND THE INCIDENCE OF PRIMARY DYSMENORRHOEA IN FEMALE ADOLESCENTS AT SMAN 1 SINDANG INDRAMAYU IN 2020 2021-07-30T07:33:00+00:00 Deysi Rizky Al Fharizy Nurasih Nurasih Nina Nirmaya Mariani <p>Female adolescents who experience anxiety will have an increase in prostaglandin synthesis accompanied by decreased levels of estrogen or progesterone, causing uterine muscle contractions, uterine blood flow, uterine ischemia resulting in dysmenorrhea. The prevalence of dysmenorrhoea varies between 15.8% - 89.5%, with the highest prevalence in adolescents, this shows that adolescents are very vulnerable to anxiety which will lead to the incidence of dysmenorrhoea. This study aims to determine the correlation between the level of anxiety during the Covid-19 pandemic and the incidence of primary dysmenorrhoea in adolescents at SMAN 1 Sindang Indramayu in 2020. Non-experimental research with correlational analytic design with cross sectional approach using primary data of 50 female adolescents who were taken by quota sampling technique. Collecting data using an electronic questionnaire which is analyzed by the Spearman rank test. In the univariate analysis, 36% of 50 female adolescents had mild anxiety and 72% had mild primary dysmenorrhoea. Bivariate analysis with the Spearman rank statistical test obtained significance or P value = 0.003 &lt;0.05 and a correlation coefficient value of 0.418 and is positive. There are correlation between the level of anxiety during Covid-19 pandemic and the incidence of primary dysmenorrhoea in female adolescents at SMAN 1 Sindang Indramayu with the strength of the correlation between two variables in the sufficient category and positive, which means that if the variable level of anxiety is high, the primary dysmenorrhoea variable is getting higher.</p> 2021-07-08T00:00:00+00:00 Copyright (c) 2021 THE EFFECT OF PRENATAL GENTLE YOGA AND HYPNOTHERAPY ON ANXIETY LEVEL AND SLEEP QUALITY IN THE THIRD TRIMESTER PREGNANT WOMAN AT PUSKESMAS SUMBER CIREBON REGENCY IN 2019 2021-07-30T07:38:03+00:00 Nurlaela Kurnia Rahayu Pepi Hapitria Rani Widiyanti <p>As the pregnancy gets older, the attention and thoughts of pregnant women begin to focus on something that is considered as a climax, so that the anxiety experienced will intensify just before the childbirth. Excessive anxiety and sleep disorders during pregnancy can cause mental disorders in pregnant women and inhibit fetal growth. To determine the effect of prenatal gentle yoga and hypnotherapy on anxiety level and sleep quality in the third trimester pregnant women. This is a quasi-experimental study with a pre-post test with a control group. The sample was 32 respondents consisting of 16 respondents as an intervention group and 16 respondents as a control group taken by purposive sampling. The analysis used was the Paired T-test. There is a difference in the average of anxiety level in the third trimester pregnant women in the intervention and control groups with a p value 0,000; there is a difference in the average of sleep quality in the third trimester pregnant women in the intervention and control groups with a p value 0,000; and there is no difference in the average of anxiety level and sleep quality in the third trimester pregnant women in the intervention and control groups with a p value 0,64. Prenatal Gentle Yoga and Hypnotherapy have an effect in reducing the anxiety level and improving the sleep quality in the third trimester pregnant women.</p> 2021-07-08T00:00:00+00:00 Copyright (c) 2021 THE EFFECT OF MOTHER'S KNOWLEDGE AND PROFESSION ON THE SUCCESS OF EXCLUSIVE BREASTFEEDING IN THE WORKING AREA OF PUSKESMAS SURANENGGALA, CIREBON DISTRICT, YEAR 2021 2021-07-30T07:40:47+00:00 Lisnawati Lisnawati, Siti Siti Soleha <p>Introduction : According to the coverage of exclusive breastfeeding in regencies and cities in West Java, the lowest coverage of exclusive breastfeeding for infants 0-6 months is 20.34% in Bandung Regency, while the highest coverage is exclusive breastfeeding in Tasikmalaya Regency 113.11%. Meanwhile, the coverage of exclusive breastfeeding in Cirebon Regency is 32.79%, with the fifth lowest in regencies and cities in West Java. Methods: Analytical research with 1: 1 case control technique, the population in this study were mothers who had babies aged 6-12 months with a population of 269 people. The samples used in this study were 30 in the case group and 30 in the control group. Collecting data by dividing the case group and the control group, namely the proportional random sampling technique in the control group and the total sampling in the case group. The instrument used was a questionnaire. The data analysis of this research used univariate and bivariate. Results: In the univariate test results on the knowledge variable, it was found that mothers in the majority of cases group had good knowledge, namely 25 mothers (83.4%) and mothers in the control group, the majority had good knowledge, namely 13 mothers (43.3%). While for the variable of maternal occupation the case group did not work as much as 26 (86.7%) and the control group did not work as much as 27 (90%). For bivariate analysis, the results of statistical tests using the chi-square test between the variables of maternal knowledge about breastfeeding and the exclusive breastfeeding variable obtained a p value value of 0.003 (&lt;0.05), the OR value in the comparator was good against 0.260 (0.66-1.028), whereas in the comparison group it was good to less 4,500 (0.418-49.077). In the work variable, the p value is 1.00 (&gt; 0.05) with an OR value of 0.722 (0.147 - 3.545). Mother's knowledge has a 4.5-fold effect on the success of exclusive breastfeeding, while for work there is no effect on the success of exclusive breastfeeding.</p> 2021-07-08T00:00:00+00:00 Copyright (c) 2021 ANALYSIS OF CHARACTERISTICS OF INFANT DEATH RATE (2015-2019) IN UPTD PUSKESMAS JAPARA KUNINGAN DISTRICT, 2020 2021-07-30T07:43:27+00:00 Yona Septina Luthfiah Zakiyah Heri Hermansyah Siti Nunung Nurjannah <p>Infant mortality is a death incident that occurs in newborns up to &lt;1 year of age. Infant mortality is measured as the infant mortality rate, which is the number of deaths for children under 1 year of age per 1000 births. According to WHO, the infant mortality rate in Indonesia reaches 27/1000 live births. Based on the health profile of West Java, the number of infant deaths in 2017 reached 3.4 / 1000 live births. In the UPTD Puskesmas Japara there are 34 cases of infant mortality. Infant mortality is caused by several factors, including maternal age, education, birth attendants, and parity. The research objective was to determine the analysis of the characteristics of the incidence of infant mortality in 2015-2019 at the UPTD Puskesmas Japara, Kuningan Regency. The research method used was quantitative with a retrospective design, taken from secondary data 2015-2019, the population in the study was all infant deaths in the UPTD Puskesmas Japara, amounting to 34 people. Selection of a sample of 34 people using the total sampling technique. The statistical test technique uses the Chi Square test. The results showed that there was a relationship between parity (p-value = 0.006) and there was no relationship between maternal age (p-value = 0.129), education (p-value = 0.156), birth attendants (p-value = 0.781) and death. babies in 2015-2019 at UPTD Puskesmas Japara, Kuningan Regency. It can be concluded that the incidence of infant mortality occurs in some mothers with no risk age, some mothers with primary education, some mothers with multiparity parity. Suggestions for health centers are expected to increase the priority of health programs in an effort to reduce the incidence of infant mortality.</p> 2021-07-08T00:00:00+00:00 Copyright (c) 2021 PERCEPTION OF WOMEN OF CHILDBEARING AGE ON EARLY DETECTION OF CERVICAL CANCER WITH IVA TEST IN THE BASIC ESSENTIAL NEONATAL OBSTETRICS SERVICES CIPEUNDEUY COMMUNITY HEALTH CENTER SUBANG REGENCY 2021-07-30T07:47:13+00:00 Wiwin Elis Sumarni Lia Nurcahyani <p>Cervical cancer is the most common cancer in women with an estimated 570,000 new cases in 2018 and represents 6.6% of all cancers in women. The behavior of women of childbearing age in preventing cervical cancer with early detection is still low. Nationally, it is still less than 5%, while the target to be achieved in 2019 is 50%. In Subang Regency in 2019, of the target of 7500, only 20 people (0.27%) did IVA tests (Subang District Health Office, 2019). This study aims to determine the perception of women of childbearing age on early detection of cervical cancer with IVA test in the Basic Essential Neonatal Obstetrics Services Cipeundeuy Community Health Center, Subang Regency In 2020. This research is qualitative with a case study approach, the research subjects are 5 women of reproductive age. Measurement and observation of these variables using in-depth interviews. Data analysis through transcription, reduction, categorization, presentation of data in narrative form. The behavior of women of childbearing age in preventing cervical cancer with early detection is based on the perception of vulnerability of women of childbearing age to feel vulnerable to cervical cancer, because women of childbearing age is already active in sexual intercourse, based on the perception of severity seriousness. Women of childbearing age considers cervical cancer a serious disease, based on the perceived advantage that this examination is to determine the health condition of the presence of signs and symptoms, based on the perception of obstacles due to shame, fear, lack of knowledge and costs. Women of childbearing age perception of cervical cancer early detection includes perception of vulnerability, perception of severity/ seriousness, perception of benefits and perception of barriers.</p> 2021-07-08T00:00:00+00:00 Copyright (c) 2021