International Journal Of Nursing And Midwifery Science (IJNMS)
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Qualitative Study on HIV/AIDS Prevention in Jombang City
Get PDFBackground: 2022 will see an increase in the number of HIV/AIDS cases in Jombang City, ranking it second in East Java with 1388 PLWHA, 20 cases of mother-to-child HIV transmission during childbirth, 12 HIV (+) cases, 8 AIDS cases, and 100 fatalities. The Independent Practice Midwife (BPM) is the linchpin of a healthcare organization that has the potential to grow into a network of expectant mothers. Midwives are qualified to serve as health educators for expectant women who exhibit habits that increase their risk of contracting HIV/AIDS. In a qualitative study in Jombang City, the aim of this study was to determine the program to develop midwives\u27 ability as health educators for expectant mothers in an effort to prevent HIV/AIDS transmission.
Method: This study is qualitative and employs an in-depth interviewing methodology. Up to 8 stakeholders served as primary informants, while 2 NGOs and 10 BPM employees served as secondary informants. analysis of data using the content analysis approach.
Results: Because national guidelines for preventing HIV transmission from mother to newborn have been popularized, stakeholders have implemented a policy that uses standard technical programs for midwifery practice. Midwives have received training in APN, PI, and STIs, but due to funding restrictions, they have never received training in HIV/AIDS counseling. There is no such thing as BPM; only the central IBI does monitoring and assessment, which is done only through monthly reports. The coordination of NGOs, KPAD Regional Child Protection Commission, Public Health Office, The Indonesian Midwives Association, and BPM in the execution of monitoring and evaluation is insufficient, and only IBI is carried out, unplanned, carried out at any moment if it is going to prolong the practice permit. BPM has not yet received special supervision. Coordination amongst stakeholders during the implementation of supervision is insufficient. In an effort to stop the spread of HIV/AIDS, health education facilities for pregnant women in BPM have been provided with posters, flipcharts, and MCH handbooks. There are four VCT clinics and three PMTCT clinics.
Conclusion: Program to improve midwives\u27 abilities as health educators for expectant mothers in an effort to stop the spread of HIV/AIDS at BPM (independent practice midwives) Jombang City. In order to improve coordination between stakeholders (KPAD Regional Child Protection Commission, Public Health Office, and IBI The Indonesian Midwives Association with BPM in monitoring and supervision, train counselors for BPM (independent practice midwives), and have midwives become more motivated to provide IEC and continue to improve professionalism in providing midwifery services, advocacy is required to the Regional/ Legislative Counci
ANALYSIS OF FACTORS RELATED TO THE COMPLETENESS OF TETANUS TOXOID IMMUNIZATION IN TRIMESTER III PREGNANT WOMEN
Get PDFTetanus toxoid immunization in third trimester pregnant women is very important to prevent the risk of tetanus infection in newborns. Most cases of neonatal death in developing countries are due to tetanus, and neonatal tetanus is the second leading cause of death worldwide in diseases that can be prevented through vaccination. The purpose of this study was to determine the factors associated with the completeness of Tetanus Toxoid immunization in third trimester pregnant women. This study employed an analytical cross-sectional observational design on pregnant women in the third trimester (n=47) at Puskesmas Karangan in 2023. A total sampling method was used, resulting in a sample of 47 infants. Data collection instruments included questionnaires (primary data) and the PWS KIA book (secondary data). The variables examined were immunization completeness (dependent variable) and knowledge, attitude, and spousal support (independent variables). Data were analyzed using the Chi Square test. The results of univariate analysis showed that the majority of respondents with incomplete TT immunization were 24 (51.1%). The results of the bivariate analysis found a relationship between knowledge and P Value (0.004), mother\u27s attitude P Value (0.025) and husband\u27s support P Value (0.029) with the completeness of Tetanus Toxoid immunization in third trimester pregnant women with a value of α = 0.05. The study highlights the strong influence of maternal knowledge on the completeness of Tetanus Toxoid immunization in pregnant women in the third trimester (P-value=0.004), which is more significant compared to maternal attitude and spousal support. Enhancing maternal knowledge regarding TT immunization is crucial in improving immunization coverage and reducing the risk of tetanus infection in newborns
DURATION OF GADGET USE AND FINE MOTOR DEVELOPMENT IN FOUR YEARS CHILDREN AT PUTRA BANGSA PRE-SCHOOL
Get PDFGadget is a modern device which used as a means of communication and many more functions either for children or adults, and can make addicted. It also has influences to development of children’s soft motoric nerves. The objective of this research is to know the relation between gadget usage duration and soft motoric nerves development of 4 years old children in PAUD Putra Bangsa Wajak Lor, Tulungagung Regency.The design of this research was correlational analytics with cross-sectional approach. The population was all of PAUD Putra Bangsa Wajak Lor and and 24 respondents were taken as samples by purposive sampling technique. The independent variable was the duration of gadget usage, and obtained from questionnaires, and the dependent variable was the development of 4 years old children’s soft motoric nerves which obtained from observation. The data analyzed with Spearman Rank Test. The research result were almost all of the respondents or (62.5%) used gadgets the most frequently (66.7%) of the respondents developments of soft motoric nerves were suspected. There was a negative and strong relation between gadget usage duration and the development of 4 years old children’s soft motoric nerves (Spearman Rank, p value 0.000 < 0.05, Correlation Coefficient : -0.668). The conclusion was the higher the duration of the use of gadgets then the development of 4 years old children’s soft motoric nerves in the suspect category, so that need role existence parents for the limit duration usage gadgets on child
INFLUENCE OF CULTURAL FACTORS ON CHOICE OF CHILDBIRTH PLACE AMONG WOMEN IN OYIGBO LOCAL GOVERNMENT AREA, RIVERS STATE, NIGERIA
Get PDFBACKGROUND: Some cultural practices which encourages both maternal mortality and infant death, are still a major challenge especially in developing countries like Nigeria, cultural norms and practices during childbirth are common but little is documented about how these cultural and religious beliefs influence women and their childbirth place choices. The aim of this study was to find out the prevalent cultural factors that influence the choice of childbirth places among the women of child bearing age, in Oyigbo Local Government area of Rivers State in Nigeria.
METHODOLOGY: A self-structured questionnaire was used as instrument to collect data for the study through simple random sampling, and these data was analyzed using Frequency and percentage for descriptive statistics while chi-square was used for inferential statistics at 0.05 level of significance.
RESULT: The result showed that most of the women had secondary education and were mostly influenced by patriarchal system, and also there was a high level of hospital adherence among the women in Oyigbo. The influence of cultural factors; family traditions (x² = 12.56, p = 0.006), religious beliefs (x² = 70.66, p = 0.000), Lack of confidence in health facilities (x² = 367.83, p = 0.000), and Presence of male skilled birth attendants (x² = 50.85, p = 0.000), were statistical significant to the choice of childbirth place while patriarchal system (x² = 2.99, p = 0.393) was not statistically significant to the choices of childbirth places of women in Oyigbo. Influence of religion (x² = 125.46, p = 0.000) on choices childbirth place was statistically significant.
CONCLUSION: Therefore, this study has shown that there is significant religious and cultural influence on the choices of childbirth places of women in Oyigbo Local Government Area of Rivers State.
KEYWORDS: Birthplace, Childbirth, Maternal Mortality, Oyigbo, Women’s healt
THE RELATIONSHIP BETWEEN FAMILY SUPPORT AND ELDERLY ACTIVENESS IN JOINING ELDERLY POSYANDU ACTIVITIES
Get PDFAlong with the increasing elderly population, the government has formulated various health service policies aimed at the elderly, one of which is the elderly Posyandu. This health service is intended to improve the health status of the elderly. The purpose of this study was to determine the relationship between family support and the activeness of the elderly in participating in elderly Posyandu activities in Alley 7, Sawahan Village, Mojosari District. The research design used was an analytic correlation with a cross-sectional study approach. The population is all elderly people who are registered at the gang 7 elderly Posyandu as many as 34 people and are taken using a non-probability sampling technique, namely the saturated sampling technique. The independent variable is family support and the dependent variable is the activeness of the elderly in participating in elderly Posyandu activities. Data collection was carried out by distributing questionnaires and KMS observation sheets, after the data was collected, the data was processed using the chi-square test with the help of SPSS 16 at the error level (α) = 0.05 value (ϼ) value = 0.012 <0.05 then H1 was accepted and H0 is rejected, which means that there is a relationship between family support and the activeness of the elderly in participating in elderly Posyandu activities in alley 7, Sawahan Village, Mojosari District. The existence of family support for the elderly causes peace of mind and happiness in the elderly. Family support will affect the activity of the elderly because the role of the family is very important in encouraging and motivating the interest of the elderly to be active in Posyandu
THE CORRELATION BETWEEN PHYSICAL ACTIVITY AND STRESS AND THEIR IMPACT ON URIC ACID LEVELS IN OLDER INDIVIDUALS
Get PDFThe elderly population, who are more susceptible to infection and chronic illnesses, are particularly susceptible to gout. The Pakong Health Center Working Area has a high prevalence of gout among the elderly population. The study examines the relationship between physical activity and stress, with uric acid levels as the dependent variable. The study involved 60 patients with gout, with a sample size of 53. The DASS physical activity questionnaire was used to gather data. The results showed that 77% of participants engaged in moderate physical activity, while almost 40% fell into the moderate stress group. The majority of uric acid levels were elevated, with 36 out of 68% being elevated. The Spearman Rank analysis yielded a p-value of 0.005, indicating a correlation between physical activity and uric acid levels in the elderly. Additionally, a p-value of 0.000, indicating a link between stress levels and gout occurrence, suggests that older individuals should enhance their physical activity and manage their nutrition to lower uric acid levels. Additionally, seniors should reduce stress by improving their religious practices, expressing their concerns, and maintaining a positive mindset
EDUCATION EFFECT OF ACUTE HEPATITIS IN UNKNOWN CAUSES ON KNOWLEDGE OF HEALTH WORKERS AND STUDENTS
Get PDFAcute hepatitis is one of the world\u27s health problems, especially in children whose exact cause is unknown. Cases of acute hepatitis continue to increase, but due to unknown causes, the introduction and treatment of this case are relatively new in the community and among health workers. The purpose of this study was to determine whether education affects acute hepatitis in children whose cause is unknown to the knowledge of health workers and students. The sample in this study amounted to 167, consisting of health workers and students. The results showed a change in the mean before being given acute hepatitis education to children whose cause was unknown and after. There is an effect of acute hepatitis education in children whose cause is not known to the knowledge of health workers and students
EFFECT OF BABY SPA (SOLUS PER AQUA) ON THE DEVELOPMENT OF GROSS MOTOR ABILITIES OF BABY UMUR 3-6 MONTHS
Get PDFBackground: Motor development is a process of Maturity or motion that directly involves the muscles to move and the neural process that a person can move his body. WHO states that 20-40% of babies experience delays, while Indonesia reaches 16%. One way that can be used to meet the needs of motor development is to do a baby spa.
Objective: The purpose of this study is to see if the treatment carried out can improve the motor development of infants aged 3-6 months at the Suryati Midwife Independent Practice in Jayapura Regency.
Methods: The design of this study uses Pre-Experimental Design with the design Group Pretest-Posttest Design. The population in this study was all babies aged 3-6 months with sampling techniques using Non-Probability Sampling selected by Purposive Sampling consisting of 30 respondents. The variable measured in this study was the motor development of the baby. This study used the Wilcoxon signed rank test (a<0.05).
Result: The results showed that the development of babies after a baby spa was higher than before the baby spa. with a value of p=0.002. Thus it can be concluded that the accepted hypothesis means that there is an influence of baby spas on the motor development of the baby.
Conclusion: there is an Effect of Baby Spa (Solus Per Aqua) on the Development of Gross Motor Abilities of Babies UNut 3-6 Months
Keywords : Baby spa, Motor development
 
The effect of PEPPERMINT AND LEMONGRASS AROMATHERAPY CANDLES TO NAUSEA VOMITING IN FIRST TRIMESTER PREGNANT WOMEN
Get PDFAccording to studies conducted in Indonesia, 14.8% of all pregnancies involved women who experienced nausea and vomiting. 40–60% of multigravidas and 60–80% of primigravida report experiencing nausea and vomiting. These symptoms can worsen once every 1,000 pregnancies. In the first trimester of the Zora era in the Merangin Regency, Jambi Province in 2021, this study seeks to ascertain the effectiveness of peppermint and lemongrass aromatherapy candles in reducing nausea and vomiting in pregnant women. One Group Pretest-Posttest Design was the quasi-experimental method employed in this investigation. The statistical test that was employed was the statistical test, which was based on the research\u27s findings. There was a connection between peppermint and lemongrass aromatherapy candles and nausea and vomiting in first-trimester pregnant women at Midwife Clinic Era Zora, according to the T test\u27s p-value of 0.000 0.05. According to the study\u27s findings, peppermint and lemongrass aromatherapy candles have an effect on nausea and vomiting in first-trimester pregnant women at Midwife Clinic Era Zora in 2021. This relationship was found using the paired T-test statistical test (Wilcoxon Signed Rank Test). Candles with peppermint and aromatherapy Pregnant women are advised to use lemongrass in the first trimester to lessen nausea and vomitin
- VACCINATION STATUS AND THE SEVERITY OF COVID-19 PATIENTS: -
Get PDFIntroduction: On January 30, 2020, the SARS-CoV-2 outbreak was a public health emergency of international concern. At the end of 2022 there was still the spread of COVID-19 even though the pandemic status had changed to endemic. One of the efforts to reduce the risk of being infected with COVID-19 is the provision of vaccines to the community. However, previous studies have shown that some people who have been vaccinated still have confirmed COVID-19 with varying severity and symptoms. The purpose of the study was to determine the relationship between vaccination status and the severity of COVID-19.
Method: This quantitative research with a retrospective cohort study was applied to 92 COVID-19 patients at a secondary hospital in Purbalingga, Central Java, Indonesia recruited by proportional simple random sampling technique. The data were collected from the medical records of COVID-19 patients from May to August 2021. The severity and symptoms of COVID-19 were determined based on the guidelines of the National Institutes of Health which include asymptomatic infection, mild symptoms, moderate symptoms, severe symptoms, and critical. The collected data were analyzed using the Fisher’s Exact test.
Results: Of the 92 respondents, there were 49 (53.35%) male patients and the most comorbid was diabetes mellitus with a total of 28 (30.4%) patients. Respondents who have not been vaccinated are 64 (69.6%) patients. Patients with a high severity level of COVID-19 were more frequently found among respondents who had not been vaccinated, 54 (58.7%). There is a relationship between vaccination status and the severity of COVID-19 (p = 0.000). The public is advised to complete the vaccine status that has been facilitated by the government.
Conclusion: Vaccination potentially reduces the severity of COVID-19