Daftar Repository

Nina Fitri, Piarni · 2025 · Skripsi · Fakultas Ilmu Kesehatan, S1 Kebidanan

Temuan kasus anemia pada ibu hamil di wilayah kerja Puskesmas Lubuk Basung menunjukkan peningkatan dari 41 kasus di tahun 2022 menjadi 85 kasus di tahun 2023. Penelitian ini bertujuan untuk mengevaluasi keterlibatan elemen masyarakat dan pemerintah dalam penanggulangan anemia pada ibu hamil di wilayah kerja Puskesmas Lubuk Basung. Jenis penelitian ini adalah deskriptif dengan pendekatan kualitatif. Informan pada penelitian ini sebanyak 9 orang meliputi Kepala Puskesmas Lubuk Basung, Korodinator KIA, Wali Nagari, Jorong, Tokoh Adat, Tokoh Agama, Kader Kesehatan, PKK dan Ibu Hamil. Pengumpulan menggunakan metode triangulasi (wawancara, dokumentasi dan observasi) analisis data menggunakan metode collaizi. Hasil penelitian menyatakan bahwa penanggulangan anemia pada ibu hamil di wilayah kerja Puskesmas Lubuk Basung telah melibatkan elemen masyarakat dan pemerintahan namun implementasinya masih kurang maksimal karena kurangnya koordinasi antar pihak serta belum adanya SDM khusus serta pelatihan khusus dari elemen masyarakat terkait penanggulangan anemia pada ibu hamil. Bentuk program yang melibatkan elemen masyarakat dan pemerintah dalam penanggulangan anemia pada ibu hamil di wilayah kerja Puskesmas Lubuk Basung adalah penyediaan sarana posyandu, program PMT pangan lokal, penyuluhan serta edukasi calon pengantin. Disimpulkan bahwa penanggulangan anemia pada ibu hamil telah melibatkan elemen masyarakat, namun keterlibatan tersebut belum khusus untuk penanggulangan anemia pada ibu hamil serta masih kurangnya koordinasi antar pihak. Diharapkan kepada pihak pemerintah untuk membentuk regulasi khusus yang melibatkan elemen masyarakat agar tercipta SOP khusus serta adanya SDM khusus dari elemen masyarakat dalam upaya penanggulangan anemia pada ibu hamil. Abstract (EN): The number of anemia cases among pregnant women in the working area of Lubuk Basung Health Center increased from 41 cases in 2022 to 85 cases in 2023. This study aimed to evaluate the involvement of community elements and the government in addressing anemia among pregnant women in the Lubuk Basung Health Center working area. This descriptive study used a qualitative approach. The informants consisted of 10 individuals, including the Head of Lubuk Basung Health Center, MCH (Maternal and Child Health) Coordinator, Wali Nagari, Jorong, community leaders, religious leaders, health cadres, PKK members, pregnant women, and their families. Data were collected using the triangulation method (interviews, documentation, and observation) and analyzed using the Collaizi method. The study results showed that anemia management for pregnant women in the Lubuk Basung Health Center area has involved both community and government elements. However, the implementation remains suboptimal due to a lack of coordination among stakeholders, the absence of specialized human resources, and the lack of specific training for community members related to anemia management among pregnant women. Programs involving the community and government in addressing anemia in pregnant women included the provision of posyandu (integrated health posts) facilities, a local food-based supplementary feeding program (PMT), counseling, and premarital education. It was concluded that while community involvement is present in managing anemia among pregnant women, it lacks specificity and adequate coordination. Therefore, it is recommended that the government establish specific regulations involving community elements to create a standard operating procedure (SOP) and ensure the availability of trained human resources from the community for anemia management among pregnant women.

Widya Nengsih, Peli Sundari · 2025 · Skripsi · Fakultas Ilmu Kesehatan, S1 Kebidanan

Tali pusat merupakan jembatan penghubung antara plasenta dan bayi Tali pusat bertugas untuk menyalurkan darah, nutrisi dan oksigen yang dibutuhkan oleh bayi. Penelitian ini bersifat deskriptif analitik, yaitu untuk mencari hubungan antara dua variable pada situasi atau kelompok objek. Penelitian ini dilakukan untuk mengetahui Faktor-faktor yang berhubungan dengan lama pelepasan tali pusat pada bayi baru lahir di wilayah kerja puskesmas siulak gedang tahun 2024. Teknik pengembilan sampel adalah total sampling, sebnyak 30 bayi baru lahir secara acak . jenis penelitian ini adalah semi ekperimental, penelitian dan pengumpulan data dimulai Oktober sampai November 2024. Instrument yang digunakan berupa kuesioner dan lempar observasi, analisis yang digunakan adalah analisis univariat dan bivariate. kesimpulan hasil penelitian dapat bahwa, Hasil uji statistik di peroleh hasil p-value 0,110>0,05, yang artinya tidak ada hubungan antara pemberian ASI terhadap lamanya pelepasan tali pusat. hasil uji statistik p-value 0,00 Abstract (EN): The umbilical cord is the bridge connecting the placenta and the baby. The umbilical cord is responsible for delivering the blood, nutrients, and oxygen needed by the baby. This research is descriptive-analytical in nature, which means it seeks to find the relationship between two variables in a situation or group of objects. This research was conducted to determine the factors associated with the duration of umbilical cord detachment in newborns in the working area of Siulak Gedang Health Center Kerinci Regency in 2024. The sampling technique is total sampling, with 30 newborns selected randomly. the type of this research is semi- experimental, the research and data collection will take place from October to November 2024. The instruments used were questionnaires and observational throws, and the analyses employed were univariate and bivariate analyses. the conclusion of the research results can be that, The statistical test results obtained a p-value of 0.110>0.05, which means there is no relationship between breastfeeding and the duration of umbilical cord detachment. the statistical test result p-value 0.00

Evi Hasnita, Zainal Abidin, Yelmita Juwarnis · 2025 · Tesis · Fakultas Ilmu Kesehatan, S2 Kesehatan Masyarakat

Prevalensi stunting di Indonesia sudah mengalami penurunan, namun berdasarkan kriteria WHO masih tergolong kategori tinggi (>20%). Walaupun pemerintah sudah berupaya maksimal, namun hasilnya belum optimal sesuai dengan yang diharapkan. Tujuan penelitian ini untuk menganalisis peran lintas sector dan lintas program dalam penanganan stunting. Jenis penelitian Mixed Method dengan desain Sequential Explanatory. Tempat penelitian di wilayah kerja Puskesmas Palembayan dan Puskesmas Koto Alam pada bulan Agustus – September 2025. Populasi adalah seluruh orang tua yang memiliki balita stunting di wilayah kerja Puskesmas Palembaya dan Puskesmas Koto Alam, berjumlah 223 orang dengan pengambilan sampel secara total sampling. Informan terdiri dari kepala puskesmas, pemegang program KIA, pemegang program gizi, Bidan desa dan kader posyandu. Pengumpulan data menggunakan kuesioner dan wawancara mendalam kemudian diolah serta disajikan melalui tahap editing, coding, scoring, entry dan tabulating, serta reduksi data. Hasil penelitian didapatkan faktor penyebab stunting yaitu anemia (7,2 %), BBLR (7,2 %), infeksi penyakit (1,3 %), pendapatan rendah (75,8 %) dan faktor keturunan (16,6%). Sebanyak 52,0 % responden menyatakan peran lintas sektor pada kategori kurang baik dan 95,5 % menyatakan peran lintas program pada kategori baik. Ketersediaan input masih perlu upaya peningkatan agar intervensi bisa lebih optimal dan berkelanjutan. Proses penanganan stunting dimulai dengan perencanaan yang dilakukan secara terintegrasi dan komprehensif. Pada output masih terdapat tantangan seperti efektivitas penyuluhan, peran kader yang kurang, serta pemanfaatan teknologi digital belum optimal. Disimpulkan perlu peningkatan input, proses dan output dalam rangka optimalisasi penanganan stunting. Diharapkan pada dinas kesehatan agar memperkuat koordinasi lintas sektor dengan pemerintah desa, PKK, serta lembaga terkait. Abstract (EN): The prevalence of stunting in Indonesia has declined; however, based on WHO criteria, it still falls into the high category (>20%). Despite the government’s maximum efforts, the results have not yet been optimal as expected. The purpose of this study was to analyze the roles of cross-sector and cross- program collaborations in stunting management. This research employed a Mixed Methods approach with a Sequential Explanatory design. The study was conducted in the working areas of Palembayan and Koto Alam Health Centers from August to September 2025. The population consisted of all parents with stunted children under five in these areas, totaling 223 people, with samples taken using total sampling. Informants included the head of the health center, maternal and child health (MCH) program coordinators, nutrition program coordinators, village midwives, and posyandu cadres. Data collection was carried out using questionnaires and in-depth interviews, which were then processed and presented through the stages of editing, coding, scoring, entry, tabulating, and data reduction. The study found the causes of stunting to be anemia (7.2%), low birth weight (7.2%), infectious diseases (1.3%), low income (75.8%), and hereditary factors (16.6%). A total of 52.0% of respondents stated that cross-sector roles were in the poor category, while 95.5% stated that cross-program roles were in the good category. The availability of inputs still requires improvement to make interventions more optimal and sustainable. The stunting management process begins with integrated and comprehensive planning. At the output stage, challenges remain, such as the effectiveness of counseling, the limited role of health cadres, and the suboptimal use of digital technology. It is concluded that there is a need to improve inputs, processes, and outputs to optimize stunting management. The health office is expected to strengthen cross-sector coordination with village governments, Family Welfare Empowerment (PKK), and related institutions.

Nurul Amalina, Ovi Riani · 2025 · Skripsi · Fakultas Ilmu Kesehatan, S1 Kebidanan

Berdasarkan profil Dinas Kesehatan Kabupaten Pasaman Barat tahun 2022 terdapat kasus anemia sebanyak 926 kasus (8,1% per kehamilan). Dari 20 Puskesmas di Kabupaten Pasaman Barat, Puskesmas Ujung Gading menjadi peringkat ketiga kasus anemia terbanyak yaitu sebanyak 137 kasus. Salah satu pencegahan anemia pada ibu hamil adalah pemahaman dan pengetahuan yang baik tentang anemia. Upaya tersebut perlu dilakukan secara luas, melalui media penyebaran informasi dan pendidikan kesehatan kepada ibu hamil. Penelitian ini bertujuan untuk mengetahui pengaruh pendidikan kesehatan menggunakan media video dan leaflet terhadap pengetahuan dan sikap tentang anemia pada Ibu Hamil di Wilayah Kerja Puskesmas Ujung Gading. Jenis penelitian yang digunakan pada penelitian ini adalah kuantitatif dengan desain penelitian quasi eksperimen design dan menggunakan rancangan penelitian one group pretest posttest design. Instrumen penelitian menggunakan kuesioner. Sampel dalam penelitian ini adalah ibu hamil berjumlah 27 orang. Analisis data berupa analisis univariat dan analisis bivariat menggunakan uji paired sample t-test dengan derajat kesalahan 5% (p-value Abstract (EN): According to the 2022 profile of the Health Department of West Pasaman Regency, there were 926 cases of anemia (8.1% per pregnancy). Among the 20 health centers in West Pasaman Regency, Ujung Gading Community Health Center ranked third in the highest number of anemia cases, with 137 cases. One of the ways to prevent anemia in pregnant women is by improving their understanding and knowledge about anemia. This effort needs to be widely implemented through information dissemination and health education targeting pregnant women. This study aims to determine the influence of health education using video and leaflet media on the knowledge and attitudes about anemia among pregnant women in the working area of Ujung Gading Community Health Center. The research method used in this study is quantitative with a quasi-experimental design, specifically a one-group pretest- posttest design. The research instrument was a questionnaire. The sample consisted of 27 pregnant women. Data analysis included univariate and bivariate analyses using a paired sample t-test with a 5% error margin (p-value < 0.05). The results showed that the average knowledge score before the health education was 7.78 and increased to 11.48 after the health education, with a p-value of 0.001. The average attitude score before the health education was 38.37 and increased to 42.44 after the health education, also with a p-value of 0.001. This indicates that health education using video and leaflet media significantly influenced the knowledge and attitudes about anemia among pregnant women in the working area of Ujung Gading Community Health Center. It is expected that healthcare workers can intensively provide health education using video and leaflet media about anemia to pregnant women as part of efforts to improve their knowledge and attitudes toward anemia.

Orin Asmindra, Detty Afriyanti Suikandar · 2025 · Skripsi · Fakultas Ilmu Kesehatan, S1 Kebidanan

Angka Kematian Ibu di indonesia tahun 2021-2023 (AKI masih di kisaran 305 per 100.000 Kelahiran Hidup, belum mencapai target yang ditentukan yaitu 183 per 100.000 KH di tahun 2024 (Kemenkes RI tahun 2023) hal ini menyebabkan indonesia menjadi peringkat 3 negara dengan AKI tertinggi. Sedangkann tahun 2023 AKI di sumtra barat berjumlah 178, hal ini masih jauh di bawah angka nasional 189. Sedangkan berdasarkan data pesisir selatan Dalam Angka kabupaten Pesisir Selatan tahun 2023 AKI menurun pada tahun 2022 berjumlah 12 orang. dimana jumlah kematian ibu tahun 2021 berjumlah 14 orang. Jenis penelitian ini menggunakan desain penelitian kuantitatif dengan pendekatan cross sectional. Penelitian dilaksanakan bulan september-november 2024 di wilayah kerja puskesmas pasar baru. Sampel penelitian adalah 55 orang ibu hamil trimester 3.Teknik pengambilan sampel non-probabilistik dengan metode serial sampling. Istrumen penelitian menggunakan kuesioner dan buku KIA. Analisis Univariat dan Bivariat menggunakan uji Chi-Square. Hasil uji statistik terdapat hubungan yang signifikan antara Usia ibu (p= Abstract (EN): The Maternal Mortality Ratio (MMR) in Indonesia from 2021 to 2023 remains at around 305 per 100,000 live births, which is still far from the target of 183 per 100,000 live births by 2024 (Ministry of Health, Indonesia, 2023). This has placed Indonesia as the third highest country with the highest MMR. In West Sumatra, the MMR in 2023 was 178, still significantly lower than the national average of 189. Based on data from Pesisir Selatan, the MMR in 2023 decreased to 12 maternal deaths, compared to 14 maternal deaths in 2021. This study uses a quantitative research design with a cross-sectional approach. The research was conducted from September to November 2024 in the work area of Puskesmas Pasar Baru. The sample size consisted of 55 pregnant women in their third trimester. The sampling technique used was non-probabilistic with serial sampling method. The research instruments included questionnaires and maternal and child health books (KIA). Univariate and bivariate analyses were performed using the Chi-Square test. The statistical test results showed significant relationships between maternal age (p < 0.001), education (p < 0.001), parity (p < 0.001), occupation (p < 0.001), economic status (p < 0.001), attitude (p < 0.001), and knowledge (p < 0.001) with antenatal care visits. The conclusion is that there is a significant relationship between age, education, parity, occupation, economic status, attitude, and knowledge with antenatal care visits. It is recommended that healthcare workers in the Puskesmas Pasar Baru area enhance counseling and act as good motivators for pregnant women, encouraging them to attend antenatal care visits regularly.

Nurhayati, Efriza, Wismai Rosyani · 2025 · Tesis · Fakultas Ilmu Kesehatan, S2 Kesehatan Masyarakat

WHO menyatakan hipertensi di dunia 1,28 miliar dan diabetes di Indonesia 8,4 juta. Puskesmas IV Koto melaksanakan Program Senapan Kaliber. Tujuan penelitian analisis faktor yang berhubungan dengan pemanfaatan Senapan Kaliber prolanis Puskesmas IV Koto Kabupaten Agam Tahun 2025. Penelitian kuantitatif dengan kuisioner, pengambilan sampel proportional simple random sampling: hipertensi 173 dan diabetes 37 orang, data kualitiatif dengan wawancara, dilakukan April sampai Juni 2025. Variabel kuantitatif: pengetahuan, sikap, tindakan, dukungan keluarga dan peran nakes terhadap Senapan Kaliber. Analisis univariat, bivariat dan multivariat, dan triangulasi data untuk penelitian kualitatif. Hasil kuantitatif: hipertensi, univariat: variabel pengetahuan rendah (56,1%), sikap rendah (62,4%) tindakan rendah (52,%), dukungan keluarga rendah (54,3%) dan peran nakes tinggi (64,2%), tidak memanfaatkan Senapan Kaliber (59%). Bivariat: variabel yang tidak berhubungan, pengetahuan, sikap, dukungan keluarga dan peran nakes dengan pemanfaatan Senapan Kaliber (p value >α), variabel berhubungan tindakan dengan p- value=0,001. Multivariat: secara bersama-sama variabel berpengaruh adalah sikap, dukungan keluarga dan tindakan, yang paling berpengaruh adalah tindakan OR 3,107. Diabetes: univariat: pengetahuan tinggi (70,3%), sikap tinggi (75,7%), tindakan rendah (67,6%), dukungan keluarga rendah (56,8%), peran nakes tinggi (75,7%), tidak memanfaatkan Senapan Kaliber (70,3%). Bivariat: variabel pengetahuan terdapat hubungan p value 0,05, sikap, tindakan, dukungan keluarga, peran nakes, tidak ada hubungan dengan pemanfaatan Senapan Kaliber (p value >α). Hasil kualitatif: SDM mencukupi, dana mencukupi, sarana, prasarana belum mencukupi, kebijakan ada, proses sesuai manajemen, output belum tercapai. Kesimpulan pemanfaatan Senapan Kaliber rendah dan output tidak tercapai, dipengaruhi pengetahuan, sikap dan tindakan serta dukungan keluarga, yang paling berpengaruh adalah tindakan. Saran Puskesmas meningkatkan upaya untuk pengembangan Inovasi Senapan Kaliber on The dor (Senam Prolanis Amankan Kartu Kendali berobat melalui On Call, Therapy, Edukasi, Dukungan Keluarga, Home Sharing atau kunjungan rumah). Abstract (EN): The World Health Organization (WHO) reports that globally, 1.28 billion people suffer from hypertension, and in Indonesia, 8.4 million people live with diabetes. Puskesmas IV Koto has implemented an innovative program called Senapan Kaliber Prolanis Exercise to Secure the Medical Control Card. This study aims to analyze the factors associated with the utilization of the Senapan Kaliber Prolanis program at Puskesmas IV Koto, Agam District, in 2025. This was a quantitative study using a questionnaire, with proportional simple random sampling: 173 respondents with hypertension and 37 with diabetes. Qualitative data were also collected through interviews. The study was conducted from April to June 2025. The quantitative variables included knowledge, attitude, practice, family support, and the role of healthcare workers regarding the Senapan Kaliber program. Data were analyzed using univariate, bivariate, and multivariate analysis, and data triangulation was applied for the qualitative aspect. Quantitative Results For hypertension patients Univariate results showed low levels of knowledge (56.1%), attitude (62.4%), practice (52%), and family support (54.3%), while the role of healthcare workers was high (64.2%). A total of 59% did not utilize the Senapan Kaliber program. Bivariate analysis showed no significant relationship between knowledge, attitude, family support, and healthcare workers’ role with program utilization (p > α), but there was a significant relationship with practice (p = 0.001). Multivariate analysis showed that attitude, family support, and practice together influenced utilization, with practice being the most influential factor (OR = 3.107). For diabetes patients: Univariate results showed high levels of knowledge (70.3%) and attitude (75.7%), but low practice (67.6%) and family support (56.8%), with a high role of healthcare workers (75.7%). However, 70.3% still did not utilize the Senapan Kaliber program. Bivariate analysis found that only knowledge was significantly associated (p = 0.05), while attitude, practice, family support, and healthcare workers’ role were not (p > α). Qualitative Results: Human resources and funding were adequate, but infrastructure and facilities were insufficient. Policies were in place, and implementation followed standard management processes, but the expected outcomes had not been achieved. Conclusion: The utilization of the Senapan Kaliber program was low, and program outcomes had not been achieved. The influencing factors included knowledge, attitude, practice, and family support, with practice being the most influential. Recommendation Community health center should enhance efforts to improve the implementation and utilization of the Senapan Kaliber on The dor (Prolanis Exercise to Secure the Medical Control Card through On Call, Therapy, Education, Family Support, Home Sharing or home visits)program.

Detty Afriyanti Sukandar, Ola Kalaritafauti · 2025 · Skripsi · Fakultas Ilmu Kesehatan, S1 Kebidanan

Nurhayati, Evi Hasnita, Syilvia Dewi Anwar · 2025 · Tesis · Fakultas Ilmu Kesehatan, S2 Kesehatan Masyarakat

Kepatuhan dalam minum obat ARV pada pasien HIV/AIDS merupakan faktor kunci dalam keberhasilan terapi, di mana tingkat kepatuhan ≥95% diperlukan untuk mencapai supresi virus yang optimal. Ketidakpatuhan ini dapat menyebabkan resistensi obat, kegagalan terapi, serta peningkatan risiko penularan HIV kepada orang lain. Penelitian ini bertujuan mengetahui Analisis Faktor-faktor Yang Berhubungan Dengan Kepatuhan Minum Obat Antiretroviral (ARV) Pada Pasien HIV/AIDS di Puskesmas Seberang Padang. Metode Penelitian : Jenis penelitian mixed method dilakukan bulan Agustus 2025. Sampel kuantitatif 100 pasien HIV dengan accidental sampling, informan kualitatif 8 orang dengan purposive sampling. Hasil penelitian : analisa univariat: 99% pengetahuan tinggi, motivasi baik 93%, dukungan teman sebaya kurang baik 53%, dukungan tenaga kesehatan kurang baik 46%, jarak layanan jauh 42%, dukungan keluarga kurang baik 41%, stigma kurang baik 33, tingkat kepatuhan rendah 29 %. kejenuhan minum obat 18%. Hasil analisa bivariat: menunjukkan bahwa terdapat hubungan variabel antara kejenuhan(p value 0.002),stigma (p value 0.000),dukungan keluarga (p value 0.000),dukungan teman sebaya (p value 0.007),motivasi (p value 0.021) terhadap kepatuhan minum obat ARV ,sedangkan variabel yang tidak berhubungan adalah pengetahuan (p value 1.000),jarak layanan (p value 0.556), dukungan tenaga kesehatan ( p value 0.066), dan hasil analisa multivariat variabel yang paling berpengaruh terhadap kepatuhan minum obat ARV adalah motivasi (p value 0.031 0R 13.720) . Kesimpulan : Secara kualitatif SDM mencukupi , sarana prasarana sebagian besar terpenuhi, dana mencukupi, proses berjalan dengan baik, output belum tercapai. Hasil penelitian ini diharapkan nakes, keluarga, teman sebaya dapat memberikan motivasi yang baik untuk meningkatkan kepatuhan minum obat ARV pada pasien HIV/AIDS di Puskesmas Seberang Padang. Abstract (EN): Adherence to ARV medication in HIV/AIDS patients is a key factor in successful therapy, with a compliance rate of ≥95% required to achieve optimal viral suppression. Non-adherence can lead to drug resistance, therapy failure, and an increased risk of HIV transmission to others. This study aims to analyze factors associated with adherence to antiretroviral (ARV) medication in HIV/AIDS patients at the Seberang Padang Community Health Center. Research Method: This type of mixed method research was conducted in August 2025. The quantitative sample was 100 HIV patients with accidental sampling, and 8 qualitative informants with purposive sampling. Research results: univariate analysis: 99% high knowledge, good motivation 93%, poor peer support 53%, poor health worker support 46%, long service distance 42%, poor family support 41%, poor stigma 33%, low compliance level 29%. saturation of taking medication 18%. The results of the bivariate analysis: showed that there was a relationship between variables between saturation (p value 0.002), stigma (p value 0.000), family support (p value 0.000), peer support (p value 0.007), motivation (p value 0.021) on adherence to taking ARV medication, while the variables that were not related were knowledge (p value 1.000), distance of service (p value 0.556), support from health workers (p value 0.066), and the results of the multivariate analysis showed that the variable that had the most influence on adherence to taking ARV medication was motivation (p value 0.031 0R 13.720). Conclusion: Qualitatively, human resources are sufficient, infrastructure is mostly provided, funding is sufficient, the process is running well, and output has not been achieved. The results of this study are expected to provide good motivation for health workers, families, and peers to improve adherence to taking ARV medication in HIV/AIDS patients at the Seberang Padang Community Health Center.

Nita Tri Putri, Dari Oktavia Wulan · 2025 · Skripsi · Fakultas Ilmu Kesehatan, S1 Kebidanan

Tuberculosis merupakan masalah kesehatan terbesar di dunia, setelah HIV (Human Immunodeficiency Virus) sehingga harus ditangani dengan serius. Tuberculosis atau yang lebih dikenal dengan sebutan TBC adalah penyakit menular yang disebabkan kuman Mycobacterium tuberculosis yang masuk ke tubuh melalui pernapasan. Desain penelitian ini pada metode kualitatif melakukan wawancara mendalam atau interview untuk memperoleh informasi kepada informan yang telah ditentukan atau orang yang dianggap berkompoten dalam bidang terkait. Ciri khusus metode kualitatif adalah menggali lebih dalam atau memperoleh penjelasan terperinci tentang pengungkapan fenomena.Hasil penelitian diketahui kebijakan ini sudah dapat dilaksanakan sesuai dengan SK, sarana dan prasarana dalam pelaksanaan TB paru pada remaja putri, ketersediaan sumber daya manusia sudah mencukupi baik dari tenaga kesehatan hanya saja pelatihan harus perlu ditingkatkan. Secara kuantitas SDM sudah mencukupi namun masih ada tugas rangkap yang diterima Koordinator TB serta belum melibatkan kader TB puskesmas. Pelaksanaan penemuan pasien TB di puskesmas pakan kamis sudah terlaksana namun belum optimal. Diharapkan dapat mengaktifkan kembali kader TB puskesmas untuk dapat membantu petugas dalam melakukan penyuluhan TB secara rutin. Abstract (EN): Tuberculosis is one of the world's largest health problems, second only to HIV (Human Immunodeficiency Virus), and must be taken seriously. Tuberculosis, commonly known as TB, is a contagious disease caused by the Mycobacterium tuberculosis bacterium, which enters the body through the respiratory system. The research design for this study used a qualitative method, conducting in-depth interviews to obtain information from informants who were selected or considered competent in the relevant field. The special characteristic of the qualitative method is to delve deeper or obtain detailed explanations regarding the phenomenon being studied. The results of the study show that the policy for TB management has been implemented according to the SK (decree), and the infrastructure and facilities for managing pulmonary TB among adolescent girls are adequate. The availability of human resources is sufficient, although training needs to be improved. In terms of quantity, human resources are adequate, but the TB coordinator still has multiple tasks, and the involvement of TB cadres in the health center has not yet been fully utilized. The identification of TB patients at the Pakan Kamis Community Health Center has been carried out but is not yet optimal. It is recommended to reactivate the TB cadres at the health center to assist the staff in conducting routine TB education.

Oktavianis, Zuraida, Septiana Cantika · 2025 · Tesis · Fakultas Ilmu Kesehatan, S2 Kesehatan Masyarakat

Data dari Dinas Kesehatan Kabupaten Pasaman Barat didaptkan pada tahun 2024 untuk persentase cakupan kunjungan antenatal care K4 61%. Pada tahun 2025 sampai bulan Maret persentase K4 15%. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang mempengaruhi kualitas pelayanan antenatal care. Penelitian ini dilakukan di Puskesmas Kabupaten Pasaman Barat pada bulan Juni – Juli 2025, menggunakan mix method. Responden yang diteliti adalah ibu hamil trimester III sebanyak 101 dan informan penelitian sebanyak 20 orang. Data di analisis dengan menggunakan uji chi square dan regresi logistic ganda dengan analisis data univariat, bivariat, dan multivariat dan untuk penelitian kualitatif menggunakan wawancara mendalam. Hasil penelitian menunjukkan dari 101 ibu hamil berpengetahuan rendah 65 (64,4%), sikap negatif 61 (60,4%), dukungan keluarga kurang baik 35 (34,7%), konteks budaya dan sosial berdampak negatif 63 (62,4%), pelayanan ANC kurang berkualitas 68 (67,3%). Analisis bivariat menunjukkan variabel pengetahuan (p=0,001), sikap (p=0,018), dukungan keluarga (p=0,677), konteks budaya dan sosial (p=0,026), dan hasil uji regresi logistic berganda variabel paling berpengaruh adalah pengetahuan. Sementara hasil kualitatif yaitu kebijakan mengacu pada kebijakan program dari Kemenkes, SDM kesehatan belum mecukupi, sarana prasarana dan dana cukup tetapi pelaksanaan palayanan ANC di Puskesmas Kabupaten Pasaman Barat belum maksimal. Kesimpulan penelitian faktor yang paling berpengaruh terhadap kualitas pelayanan antenatal care adalah pengetahuan. Disarankan Puskesmas untuk meningkatkan promosi kesehatan agar kegiatan antenatal care pada pelayanan kesehatan ibu dan anak berjalan maksimal. Abstract (EN): Data from the West Pasaman District Health Office showed that in 2024, the coverage percentage for K4 antenatal care visits was 61%. In 2025, until March, the K4 percentage was 15%. This study aims to analyze the factors influencing the quality of antenatal care services. This research was conducted at the Community Health Centers in West Pasaman District from June to July 2025, using a mixed method. The respondents studied were 101 third-trimester pregnant women and 20 research informants. Data were analyzed using the chi-square test and multiple logistic regression with univariate, bivariate, and multivariate data analysis, and for qualitative research, in-depth interviews were used. The research results showed that out of 101 pregnant women, 65 (64.4%) had low knowledge, 61 (60.4%) had negative attitudes, 35 (34.7%) had poor family support, 63 (62.4%) had negative cultural and social contexts, and 68 (67.3%) had poor quality ANC services. Bivariate analysis showed that knowledge (p=0.001), attitude (p=0.018), family support (p=0.677), and cultural and social context (p=0.026) were significant variables, and the results of the multiple logistic regression test showed that the most influential variable was knowledge. Meanwhile, the qualitative results indicated that policies refer to program policies from the Ministry of Health, health human resources are insufficient, infrastructure and funds are adequate, but the implementation of ANC services at the West Pasaman District Community Health Centers is not optimal. The conclusion of the study is that the most influential factor on the quality of antenatal care services is knowledge. It is recommended that Community Health Centers improve health promotion so that antenatal care activities in maternal and child health services run optimally.

Ainal Mardiah, Nurlis Manalfi · 2025 · Skripsi · Fakultas Ilmu Kesehatan, S1 Kebidanan

Teknik menyusui mempengaruhi ibu dalam pemberian ASI Ekslusif. PMB terhadap 7 ibu menyusui ternyata 3 orang diantaranya ibu menyusui dengan teknik yang tidak benar. Ibu yang menyusui dengan teknik tidak benar yaitu menyusui puting susu tidak dioleskan dengan ASI, sebagian besar areola tidak masuk kedalam mulut bayi, bayi tidak menempel pada perut ibu. Tujuan penelitian Pengaruh Demonstrasi Teknik Menyusui Yang Benar Terhadap Perilaku Ibu Menyusui di PBM Kabupaten Dharmasraya Tahun 2024. Jenis penelitian ini menggunakan metode pre experiment dengan rancangan one group pretest and posttest design. Waktu penelitian Desember 2024. Populasi pada ibu menyusui bayi usia 0-6 bulan. Sampel dalam penelitian ini adalah sebanyak 30 ibu dengan teknik pengambilan sampel acidental sampling. Hasil penelitian menunjukkan Pengetahuan ibu sebelum demonstrasi teknik menyusui yang benar adalah 17 responden (56,7%) kurang, pengetahuan ibu sesudah demonstrasi teknik menyusui yang benar yang benar adalah 10 responden 20 responden (66,7%). Sikap ibu sebelum demonstrasi teknik menyusui yang benar adalah 16 responden (53,3%) negatif, sikap ibu sesudah demonstrasi teknik menyusui yang benar yang benar adalah positf 19 responden (63,3,7%). Tindakan ibu sesudah pemberian strategi konseling berimbang adalah 15 responden (50,0%) negatif Tindakan ibu sesudah demonstrasi teknik menyusui yang benar yang benar 21 responden (70,0%). Ada pengaruh demonstrasi teknik menyusui yang benar terhadap (pengetahuan p=0,000), (sikap p=0,000), (tindakan p=0,000) ibu menyusui di tempat praktek bidan mandiri. Disimpulkan ada pengaruh demonstrasi teknik menyusui yang benar terhadap pengetahuan, sikap, tindakan. Diharapkan kepada untuk mengaplikasikan pengetahuan yang didapat tentang teknik menyusui yang benar. Sehingga bayi tercukupi ASI dan ibu merasa nyaman saat menyusui. Abstract (EN): Breastfeeding techniques affect mothers in providing exclusive breastfeeding. PMB of 7 breastfeeding mothers turned out that 3 of them were breastfeeding mothers with incorrect techniques. Mothers who breastfeed with incorrect techniques, namely breastfeeding the nipples are not smeared with breast milk, most of the areola does not enter the baby's mouth, the baby does not attach to the mother's stomach. The purpose of the study The Effect of Demonstration of Correct Breastfeeding Techniques on Breastfeeding Mothers' Behavior at PBM Dharmasraya Regency in 2024. This type of research uses a pre-experiment method with a one group pretest and posttest design. The research time is December 2024. The population is breastfeeding mothers aged 0-6 months. The sample in this study was 30 mothers with an acidental sampling technique. The results of the study showed that the knowledge of mothers before the demonstration of correct breastfeeding techniques was 17 respondents (56.7%) lacking, the knowledge of mothers after the demonstration of correct breastfeeding techniques was 10 respondents 20 respondents (66.7%). The mother's attitude before the demonstration of the correct breastfeeding technique was 16 respondents (53.3%) negative, the mother's attitude after the demonstration of the correct breastfeeding technique was positive 19 respondents (63.3.7%). The mother's actions after the provision of a balanced counseling strategy were 15 respondents (50.0%) negative. The mother's actions after the demonstration of the correct breastfeeding technique were 21 respondents (70.0%). There is an effect of the demonstration of the correct breastfeeding technique on (knowledge p = 0.000), (attitude p = 0.000), (action p = 0.000) breastfeeding mothers at the independent midwife practice. It is concluded that there is an effect of the demonstration of the correct breastfeeding technique on knowledge, attitudes, actions. It is expected to apply the knowledge gained about the correct breastfeeding technique. So that the baby gets enough breast milk and the mother feels comfortable while breastfeeding.

Neila Sulung, Oktavianis, Sabria Octrina Juned · 2025 · Tesis · Fakultas Ilmu Kesehatan, S2 Kesehatan Masyarakat

Stunting masih menjadi masalah kesehatan gizi pada balita di seluruh dunia. Di Kota Solok, prevalensi stunting berdasarkan Survei Kesehatan Indonesia tahun 2023 menurun dari 18,1% menjadi 16,3%, namun kembali meningkat menjadi 18,6%. Upaya tersebut membutuhkan keterlibatan multisektor dan sinkronisasi program. Namun, pelaksanaan aksi konvergensi lintas sektor masih belum optimal karena kurangnya koordinasi antar OPD dan adanya efisiensi anggaran. Penelitian ini menggunakan penelitian mix method dilakukan di Kota Solok pada bulan Juli-Agustus 2025. Sampel sebanyak 105 Ibu yang memiliki anak usia 6-23 bulan dan 14 informan dengan analisis Chi Square. Hasil analisis univariat distribusi frekuensi stunting 52,4%, ANC sesuai standar 77,1%, tidak ASI Ekslusif 54,3%, BBLR 54,3%, imunisasi lengkap 55,2%, sanitasi baik 88,6%, pendapatan keluarga tinggi 54,3%, usia ibu saat hamil tidak beresiko 62,9%, pola asuh tidak baik 50,5%. Analisis bivariat menunjukkan variabel yang berhubungan dengan kejadian stunting adalah riwayat ASI Ekslusif (OR = 2,617), riwayat BBLR (OR = 2,617), riwayat imunisasi (OR = 3,246), sanitasi lingkungan (OR = 5,333), pendapatan keluarga (OR = 2,957), usia ibu saat hamil (OR = 4,462), dan pola asuh (OR =3,111). Hasil wawancara diperoleh belum optimalnya integrasi lintas sektor dalam aksi konvergensi percepatan penurunan stunting karena adanya efisiensi pada tahun 2025, sehingga sasaran yang mendapatkan intervensi berkurang. Kesimpulan faktor paling berpengaruh terhadap kejadian stunting di Kota Solok adalah Riwayat ASI Ekslusif dengan P-value 0.000, OR 9,068. Harapannya agar Pemerintah membuatkan ruang laktasi dan dilakukan monitoring evaluasi terpadu lintas sektor untuk memastikan program berjalan sesuai target, dengan sistem data yang akurat dan terintegrasi. Abstract (EN): Stunting remains a nutritional health problem among toddlers worldwide. In Solok City, the prevalence of stunting based on the 2023 Indonesian Health Survey decreased from 18.1% to 16.3%, but then increased again to 18.6%. These efforts require multisectoral involvement and program synchronization. However, the implementation of cross-sectoral convergence actions is still not optimal due to a lack of coordination between regional government agencies and budget efficiency. This research used a mixed method approach conducted in Solok City during July-August 2025. A sample of 105 mothers who have children aged 6-23 months and 14 informants was analyzed using Chi Square analysis. The results of univariate analysis of the frequency distribution of stunting were 52.4%, ANC according to standards 77.1%, not exclusively breastfed 54.3%, LBW 54.3%, complete immunization 55.2%, good sanitation 88.6%, high family income 54.3%, mother's age during pregnancy not at risk 62.9%, poor parenting 50.5%. Bivariate analysis shows that the variables associated with stunting are a history of exclusive breastfeeding (OR = 2.617), a history of LBW (OR = 2.617), a history of immunization (OR = 3.246), environmental sanitation (OR = 5.333), family income (OR = 2.957), maternal age during pregnancy (OR = 4.462), and parenting practices (OR = 3.111). The interview results showed that cross-sector integration in convergence actions to accelerate stunting reduction was not optimal due to efficiency in 2025, resulting in a reduction in the number of targets receiving intervention. The conclusion is that the most influential factor affecting stunting in Solok City is a history of exclusive breastfeeding, with a P-value of 0.000 and an OR of 9.068. It is hoped that the government will provide lactation rooms and conduct integrated cross-sector monitoring and evaluation to ensure that the program runs according to its targets, with an accurate and integrated data system.