Articles

UJI AKTIVITAS PENGANGKAPAN RADIKAL 2,2-DIFENIL-1-PIKRILHIDRAZIL (DPPH) PIGMENT BAKTERIAL SIMBION DARI SARGASSUM POLYCYTRUM Kusmita, Lia; Nugraheni, Sri Achadi; Nuryadi, Handung
STIFAR - Sekolah Tinggi Ilmu Farmasi Vol 8, No 2 (2013)
Publisher : STIFAR - Sekolah Tinggi Ilmu Farmasi

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Abstract

Carotenoids are pigments that are found in plants, animals, microorganisms and humans. The pigment has many functions, one of which is as an antioxidant. There have been many studies of carotenoids in plants, but the types of carotenoids in bacteria is very rarely observed when the potential is not lost. The ability of marine bacteria is well known to produce carotenoids. Bacterial symbionts associated with Sargassum polycytrum can produce neoxanthin. This research will test the antioxidant activity by DPPH method on bacterial symbionts pigment extracts as compared with extracts of S. polycytrum. Based on the results obtained IC50 of 3.01 ± 2350 ppm was obtain for extract pigments S. polycytrum, 645 ± 2.11 ppm for pigment extract bacterial symbionts, and 564 ± 2.26 ppm for β-carotene as a comparison. Keywords: antioxidants, Sargassum polycytrum, neoxanthin, fucoxanthin
Pengaruh Booklet Terhadap Pengetahuan dan Sikap Kesehatan Reproduksi Calon Pengantin Terkait Pencegahan Risiko Kehamilan di Kabupaten Pemalang Irawati, Heni; Kartini, Apoina; Nugraheni, Sri Achadi
Jurnal Manajemen Kesehatan Indonesia Vol 7, No 2 (2019): Agustus 2019
Publisher : Prodi Magister Ilmu Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat Undip

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (270.495 KB) | DOI: 10.14710/jmki.7.2.2019.124-131

Abstract

One of the causes of a high maternal mortality rate is the low knowledge of women's reproductive health, especially about the prevention of pregnancy risks. This can be overcome by increasing the knowledge of prospective brides, one of them is by providing health education with booklet media. The purpose of this study was to determine the effect of booklets on the knowledge and attitudes of reproductive health of brides related to the prevention of the pregnancy risks.       This type of research is quasi-experimental with a non-equivalent control group design. The study population was the future brides who attended the course of Future Bride and Groom at the Religious Affairs Office in Pemalang Regency. The samples were 50 brides for the intervention group and 50 brides for the control group. The instruments were questionnaires and booklets. An intervention group and a control group were compared based on the result of pre and post intervention. Statistical analysis used t-test and mann whitney test.       The results showed that there is a differentiation in reproductive health knowledge after intervention between intervention group and control group (p = 0,000 <0,05) and there is a differentiation in reproductive health attitudes after intervention between intervention group and control group (p = 0,008 <0,05). The knowledge average of future brides increased by 4.28 points and the attitude average increased by 1.84 points after intervention.       It can be concluded that the booklet can be used to increase the reproductive health knowledge and attitudes of future brides in prevention of pregnancy risks, especially in the case of anemia causing bleeding, chronic energy deficiency, and puerperal danger signs. It is recommended that the booklet can be developed as a media for reproductive health education in the course of Bride and Groom at the Religious Affairs Office.Key Words: Reproductive health; Knowledge; Attitudes; Booklet; Brides
Faktor-faktor yang Terkait Paparan Pestisida dan Hubungannya dengan Kejadian Anemia pada Petani Hortikultura di Desa Gombong Kecamatan Belik Kabupaten Pemalang Jawa Tengah Kurniasih, Siti Aisyah; Setiani, Onny; Nugraheni, Sri Achadi
JURNAL KESEHATAN LINGKUNGAN INDONESIA Vol 12, No 2 (2013): Vol 12, No 2 (2013)
Publisher : JURNAL KESEHATAN LINGKUNGAN INDONESIA

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Abstract

Background : Agropolitan Gombong village is predominantly rural subsistence farmers have vegetables certainlywill not be free from the effects of pesticide poisoning that used to be abundant agricultural products. From thepreliminary study found 30% of farmers had hemoglobin levels below 12 gr% and the researchers found sometypical symptoms that farmers often complain of dizziness, weakness, if you get up from sitting dizzy eyes.Thepurpose of this study was to analyze the factors related to pesticide exposure and its relationship to the incidenceof anemia among horticultural farmers in the village of Pemalang Belik Kingpin District.Metods:This study was an analytic research with cross sectional approach. Data obtained through interviewedusing questionnaires and laboratory tests. The sampleswere 40 respondents. The results were analyzed usingchisquare test.Result : Using Binary Logistic Regression test showed exposure to pesticides have a tendency of 5,333 timesgreater effect on the incidence of anemia compared to respondents who were not exposed to pesticides.Conculsion : The government have to aggressively conduct outreach, for farmers to follow proper standards ofpesticide spraying and the public always wash vegetables consumed with running water and cooked food toreduce pesticide levels attached to the agricultural.Keywords : Pesticides, Exposure, Anemia
Analysis on Facilitative Supervision of Primary Healthcare Center Coordinator Midwives to BPM ConcerningPregnancy and Delivery Services in Semarang City Mahligai Putri, Dewi Laila; Nugraheni, Sri Achadi; Mawarni, Atik
Jurnal Manajemen Kesehatan Indonesia Vol 1, No 2 (2013): Agustus 2013
Publisher : S2 IKM FKM UNDIP

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (849.958 KB) | DOI: 10.14710/jmki1210321

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Facilitative supervision of primary healthcare center (puskesmas) coordinator midwife (bikor) toself-employed practice midwives (BPM) constituted an ongoing and on-target clinical andmanagerial supervision. Current implementation of facilitative supervision was not optimum;therefore, further study was required. Objective of this study was to analyze the implementationof facilitative supervision of primary healthcare coordinator midwives to BPM concerningpregnancy and delivery services in Semarang city. A qualitative approach was applied in thisstudy. Data were analyzed using content analysis method. Study variables were supervisedaspects (clinical, non-clinical, logistic, and managerial aspects), assessment method andimplementation stages. Results of the study showed that supervision had included all supervisedaspects. Not all bikor used delivery care list. Supervision on clinical aspect did not include directobservation. Pre supervision implementation steps: facilitative supervision training for bikor ofthe primary healthcare centers had not been done, reference book for facilitative supervisionhad not been distributed. Steps of the implementation of supervision were not performedaccording to the guidelines. This was caused by on the spot implementation of supervision.Suggestion for District Health Office is to conduct facilitative supervision for all primaryhealthcare centers coordinator midwives. Suggestion for primary healthcare center is to makeagreement with BPM concerning facilitative supervision schedule
Analysis on the Implementation of Iron Supplementation Program by Midwives at Primary Healthcare Center in South Minahasa District Tuju, Sjenny Olga; Nugraheni, Sri Achadi; Kartika, Lucia Ratna
Jurnal Manajemen Kesehatan Indonesia Vol 1, No 3 (2013): Desember 2013
Publisher : S2 IKM FKM UNDIP

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (306.765 KB) | DOI: 10.14710/jmki1310328

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Implementation of iron tablets supplementation program in the primary healthcare centers of SouthMinahasa district was still below the national target (78.8%) although there was a policy regardingiron supplementation program by midwives. The national target was 90%. Preliminary surveyconducted on 7 midwives showed that there were midwives who had not implemented the programaccording to the existed standard operating procedure. The objective of this study was to analyzefactors affecting the implementation of iron tablets supplementation program by midwives in theprimary healthcare centers in the area of South Minahasa district.This was an observational analytical study with cross sectional approach. Data collection wasdone through interview guided by questionnaire and direct observation to midwives when givingiron tablets in a polindes/posyandu. The number of study samples was 98 village midwives in 17 sub districts of South Minahasa district. They were selected using simple random sampling method.Univariate analysis, bivariate analysis with chi square test, and multivariate analysis with logisticregression were applied in the data analysis.Results of the study showed that midwives had implemented the activities with good category incommunication (46.9%), resources (52%), disposition (57.1%), and structured bureaucracy (53.1%).Variable affecting the implementation of iron tablets supplementation program was bureaucracy(p= 0.24), exp â= 2.584.Suggestions for the South Minahasa district health office were to conduct socialization to midwivesregarding the benefits of using standard operating procedures of the implementation of iron tablessupplementation; to give incentive for midwives who implement the program according to thestandard and reaching the target; to provide Hb Sahli set for all midwives who work in the villageand they do not have the Hb Sahli set
Analysis on the Implementation of Exclusive Breastfeeding in Working Area of Remu Primary Healthcare Center in Sorong, Papua Barat Rumangun, Daud; Nugraheni, Sri Achadi; Kartasursya, Martha Irene
Jurnal Manajemen Kesehatan Indonesia Vol 1, No 3 (2013): Desember 2013
Publisher : S2 IKM FKM UNDIP

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (493.771 KB) | DOI: 10.14710/jmki1310332

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Exclusive breastfeeding was an important part in fulfilling infant nutrition to gain optimum growthand development in the early live and in the next growth period. Innocenti agreement in Rome in1990 mandated that the exclusive breastfeeding coverage was 80%. Therefore, the minimum servicestandard (SPM) coverage for exclusive breastfeeding in 2003 for Indonesia was established to be 80%. Data of SDKI in 1994 indicated that exclusive breastfeeding coverage was still 47%.This was a qualitative study. Study subjects were nutrition field workers and maternal and childhealth (KIA) midwives of Remu primary healthcare centre. Triangulation respondents were thehead of primary healthcare centre, head of maternal and child health section of Sorong city healthoffice, and mothers of infants less than 6 months. Data were collected by conducting in-depthinterview and documentation study.Results of the study showed that the implementation of exclusive breastfeeding program in Remuprimary healthcare center was still inadequate. Standard operating procedure was provided in theprimary healthcare center, but the program was not implemented according to the standard. Programsfrequently implemented were giving education in the posyandu, ANC and delivery process. Activesocialization by midwives and nutrition section workers from primary healthcare center had notdone yet. District health office did not have routine schedule. Socialization was attached in theANC, posyandu, mini workshops, and evaluation sessions. In addition, it was also done by puttingpamphlets in the primary healthcare center. Socialization was only in the form of giving educationwithout sufficient visual aids. The availability and quality of human resource in the primaryhealthcare was still insufficient; they had not been trained, and they were accompanied by untrainednurses. The available funding was given directly to the primary healthcare nutritionist to manageit. No special funding was available for exclusive breastfeeding program. Visual aids or modelswere insufficient; only leaflets with unfeasible condition were used. The available transportationvehicle was only motor cycle. The number of instruments was insufficient. No lactation clinic wasavailable. Character and attitude of the workers such as giving response, commitment andunderstanding on the exclusive breastfeeding in Remu primary healthcare center were good.The implementation of exclusive breastfeeding program will be good by implementing the standardoperating procedure or technical guidance, assigning nutritional field workers in every primaryhealthcare centre, improving socialization, formulating clear job description, providing rewardsand incentive according to workload and competence, separating finance for exclusive breastfeedingprogram, monitoring and coordinating the implementation of exclusive breastfeeding program,and having an adequate documentation of the activities.Keywords : Implementation, exclusive breastfeeding prog
Analysis on the Implementation System of Early Breastfeeding Initation by Village Midwives in Pati District Aryani, Mamik; Nugraheni, Sri Achadi; Suparwati, Anneke
Jurnal Manajemen Kesehatan Indonesia Vol 2, No 2 (2014): Agustus 2014
Publisher : S2 IKM FKM UNDIP

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (748.291 KB) | DOI: 10.14710/jmki2210373

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Infant mortality rate (IMR) in Pati district, in 2010, was &gt; 10 per 1000 live births. It was the highest 16 th among 35 districts in Central Java province, and it was above the target of Central Java province, 8.9 per 1000 live births. Early breastfeeding initiation (IMD) could save infants due to skin-to-skin contact (contact between mother and child skins). Skin-to-skin contact gave warmness and protection to the infants. In addition, colostrum (the first breast milk being expressed) was a first immunization for infant. It contained irreplaceable body immune elements. Successfulness of IMD was influenced by knowledge, attitude, and motivation of midwives or delivery assistants. Results of a preliminary study showed that the IMD implementation was still inadequate. Village midwives did not implement IMD when they assisted deliveries because they were not patient to wait to implement IMD. The implementation of IMD was influenced by system that included input, process, and output. This system could determine the success of IMD. Objective of this study was to analyze early breastfeeding initiation system in the village maternity policlinics (polindes) by village midwives in Pati district. This was an observational qualitative study. Study informants were 8 village midwives selected from 2 primary healthcare centers (puskesmas); 4 informants were selected from each puskesmas. Triangulation informants were 8 patients, 2 midwives coordinators, and 2 heads of puskesmas. Data were collected by conducting in-depth interview and observation toward IMD implementation. Content analysis method was applied in the data management. Results of the study showed that four of eight village midwives in the polindes did not implement IMD continuously because patients did not want to do IMD; implementation of IMD was not done properly; cognitive ability of the main informants regarding IMD was insufficient. The main informants did not answer properly questions regarding definition, benefits, and steps to do IMD. All midwives were only equipped with knowledge from APN training, and they did not receive training regarding lactation management due to funding constraint. The implementation of IMD in the polindes by village midwives was not proper. Seven steps to implement IMD issued by Ministry of Health of the Indonesian Republic were not done by village midwives. Village midwives are suggested to always implement IMD when they assist a delivery.
Analysis on Internal and External Factor Related to the Performance of Midwives in Neonatal Visits in Pati District Suryaningtyas, Ferry Rachmawatie; Nugraheni, Sri Achadi; Mawarni, Atik
Jurnal Manajemen Kesehatan Indonesia Vol 2, No 2 (2014): Agustus 2014
Publisher : S2 IKM FKM UNDIP

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (693.925 KB) | DOI: 10.14710/jmki2210375

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Coverage of neonatal visit in Pati district in the last 3 years showed fluctuation; 93.75% in 2009, 90.79% in 2010, and 97.02% in 2011. This condition indicated that not all village midwives conducted neonatal visit properly. Objective of this study was to analyze internal and external factors related to the work performance of village midwives in conducting neonatal visits in Pati district. This was an observational-analytical study with cross sectional approach. Study subjects were 82 village midwives selected using clustered random sampling method at primary healthcare center (puskesmas) level. Data were collected through questionnaire. Chi square test and logistic regression were applied in the data analysis. Results of the study showed that median and standard deviation of the age of village midwives were 30 ± 5.6 years old, 91.5% of respondents were married, median and standard deviation of the work period were 5.7 ± 4.2 years, 70.7% of respondents had adequate knowledge, and 62.2% of respondents had good motivation. Majority of village midwives (75.6%) stated that supervision was good, 51.2 % of respondents had good perception on leadership, 56.1% of respondents did not have training experience in the management of neonatal emergency, and 65.9% of respondents stated that they received insufficient compensation. Factors related to the work performance were age, period of work, knowledge, motivation, supervision, leadership, training, and compensation. Factors, in common, affecting the work performance of village midwives in conducting neonatal visit were knowledge, supervision, compensation, and motivation. Knowledge was the strongest factor affecting the work performance of village midwives. Suggestions for Pati district health office are to increase training opportunity for village midwives, to improve supervision, to improve rewards system in order to increase work motivation.
Analysis of the Difference between Iron Supplementation Program and Primary Healthcare Center in Kendal Mutmainah, Vepti Triana; Nugraheni, Sri Achadi; Suparwati, Anneke
Jurnal Manajemen Kesehatan Indonesia Vol 2, No 2 (2014): Agustus 2014
Publisher : S2 IKM FKM UNDIP

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (660.77 KB) | DOI: 10.14710/jmki2210377

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Based on the last SDKI survey in 2007, Indonesian maternal mortality rate (AKI) was 228/100000 live-births. One of causes of maternal death was anemia. To solve iron deficiency anemia problems on pregnant women, Indonesian Ministry of Health had implemented iron tablet distribution program to pregnant women in all puskesmas (primary healthcare center) and posyandu (integrated health services post) since 1970. In reality, that program was difficult to implement; it was shown by the fact that coverage of iron tablet distribution in Kendal was only 53.2%. Results of preliminary survey showed that no monitoring program was performed during the last year, no standard operating procedure was formulated, and funding provided for the program was insufficient; the available funding was only 40%. Objective of this study was to analyze the implementation of iron tablet supplementation program for pregnant women in the work area of Kendal district health office. This was a descriptive-explorative study with qualitative method, and using content analysis method. Main informants were 4 nutritional staffs in puskesmas. Triangulation informants were 4 heads of puskesmas, 2 policy makers from Semarang city health office, and 4 pregnant women. Results of the study showed that implementation of iron tablet supplementation for pregnant women in the puskesmas with high and low iron tablet coverage indicated no significant difference. For the continuity of the program and to attain the objective, discussions on the problems are needed; then decisions are legitimated by issuing decrees and conducting socialization. Keywords : iron tablet supplementation, bureaucracy structure, disposition, commu
Supplementary Feeding Program Evaluation Restoration Malnourished In Children Under Five In The District Wonogiri Seen From Input and Process Aspects Indriati, Ratna; Nugraheni, Sri Achadi; Kartini, Apoina
Jurnal Manajemen Kesehatan Indonesia Vol 3, No 1 (2015): April 2015
Publisher : S2 IKM FKM UNDIP

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (217.747 KB) | DOI: 10.14710/jmki3110432

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One of efforts to solve undernourishment problems in Wonogiri district was a recovery food supplement distribution (PMT-P) program. This program has been implemented since 2007. However, it had not shown significant results. Preliminary studies showed that there were problems in input and process aspects in the implementation of this program. Objective of the study was to evaluate the implementation of PMT-P program for undernourished under-five children (balita). This was an observational-analytical study. A qualitative method was applied to evaluate the implementation of PMT-P program by TPG. A quantitative method was used to compare the implementation of PMT-P program by midwives in the primary healthcare centers (puskesmas) with increasing and decreasing numbers of undernourished under-five children cases. The main informants were four TPG from four puskesmas that experienced the increase and decrease numbers of undernourished under-five children cases. Triangulation informants were four heads of puskesmas, a head of Kesga and nutrition section of the district health office, four village midwives, four posyandu cadres, and mothers of under-five children who received PMT-P. Subject of the quantitative study were 60 midwives selected purposively from each puskesmas. Qualitative data were collected through in-depth interview; quantitative data were collected using questionnaire. Content analysis was applied for qualitative data analysis, and Mann-Whitney statistic test was applied for quantitative data analysis. Implementation of PMT- P in puskesmas that experienced the decrease of the number of undernourished cases was more optimal (83.3%) than in puskesmas that experienced the increase of the cases (56.7%). Distinct difference that was shown in the implementation included socialization to the community, target registration, monitoring of PMT absorption ability, monitoring card usage. Midwives accompaniment to cadres was conducted more frequent by puskesmas that experienced the decrease of the number of undernourished under-five children cases. PMT-P packages were distributed continually to all under-five children in the puskesmas that experienced the increase of the cases for a month in average. Additionally, puskesmas did not optimally involve village staffs and sub district office staffs in the PMT-P program activities. The implementation of PMT- P in puskesmas that experienced the decrease of undernourished cases is better. Accurate determination of the target and improvement of community involvement should be able to decrease undernourished cases.
Co-Authors Adelia, Fariza Aqmar Adespin, Dea Amarilisa Afni, Erina Nur Agus Sabdono Aini, Elsa Nur Amalia, Fifiantyas Ambari, Reni Pawestuti Anneke Suparwati Apoina Kartini Arenda Reka Narima Septyasih, Arenda Reka Narima Aris Puji Widodo Arum, Rzky Atik Mawarni Atik, Nur Sri Ayun Sriatmi Basuni, Haris Cahya Tri Purnami Cahyani, Anggoro Dwi Chriswardani Suryawati Daud Rumangun, Daud Dewi Laila Mahligai Putri, Dewi Laila Dewi, Rosmala Kurnia Dharminto Dharminto Dina Rahayuning Pangestuti, Dina Rahayuning Djoko Nugroho Eti Rimawati Fadillah, Afra Dhiya Farid Agushybana Faridah Faridah Ferry Rachmawatie Suryaningtyas, Ferry Rachmawatie Handung Nuryadi Hardinawanti, Rifha Asti Hartuti Purnaweni Heni Irawati Heri Purwanto Herlinda Christi, Herlinda Ida Nurmawati, Ida Imaroh, Istiana Islahul Johan, I Karbito Karbito, Karbito Kartasurya, M I kasriatun, kasriatun Khoeri, Miftahuddin M Khoirunisa Triavi Sefaya, Khoirunisa Triavi Kunarsih Fitriana, Kunarsih Kusyogo Cahyo Laksmi Widajanti Legawati Legawati, Legawati Lia Kusmita Lucia Ratna Kartika, Lucia Ratna M. Zen Rahfiluddin, M. Zen M. Zen Rahfiludin Madinah, Sri Maharani Widya Purnama sari, Maharani Widya Mamik Aryani, Mamik Martha Irene Kartasursya, Martha Irene Martha Irene Kartasurya Martini Martini Miftahuddin Majid Khoeri Munawaroh, Aqilatul musta'in, mukhamad Nugraheni, Fani Rizky Nurchumaida, Ifa Nurchumaida, Nurchumaida OCKY KARNA RADJASA Oktaviani, Zakiyah Islamiaty Onny Setiani Pamungkas, Yulinar Tri Panjaitan, Arip Ambulan Paryanti, Ika Priastari, Nova Adiani PUSPITO, HERI Rahfiludin, Muhammad Zen Ratna Indriati, Ratna Roisah, Roisah Ronny Aruben S. Sulistiyani, S. Salam, Muh. Ridha Setiawan Salekha, Dilla Fitriana Setyowati, Bhernia Indri Sheila Mahardini, Sheila Silaban, Sri Desi Juliana Silvia, Ayu Siti Aisyah Kurniasih Siti Fatimah Pradigdo Sjenny Olga Tuju, Sjenny Olga Sulistiawati, E Sulistyaningsih, Sulistyaningsih - Susanti, Wahyu Indri Sutopo Patria Jati Suyatno Suyatno Triwahyuningsih, Ria Yulianti Untung Sujianto Utami, Haida Meytania utomo, novia nursetiya Vania, Elvia Raissa Vepti Triana Mutmainah, Vepti Triana Widyastuti, Yustin Yulianasari, Prastika