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THE CORRELATION BETWEEN ATTITUDE TOWARDS CERVICITIS PREVENTION AND SCREENING CHECKUP
Get PDFBackground: Cervicitis is an infection that is caused by little injury of former childbirth or sexual intercourse. In several venereal diseases like gonorrhea, syphilis, ulcers mole, granuloma inguinal and tuberculosis are found inflammation cervix.Cases of cervicitis according to data result of the number of graphs of sexually transmitted infections patient who got treatment at semarang city hospital from last recap year 2010 is in the first rank as many as 5111 people. Public Health Center of Lebdosari Semarang City has the highest case of cervicitis, in 2012 the case cervicitis 356 people (66.9%), while in 2013 as many as129 people (24.24%).
Objective: To prevent cervicitis from the beginning cases researched to know the correlation between women's attitude (age 20 – 35 years) towards cervicitis prevention behavior and screening check-up in Kalibanteng Kulon district Lebdosari Semarang.
Method: This research is analytic research with cross sectional approach. The population is 532 fertile women with sample 84 respondents in Kalibanteng Kulon district Lebdosari Semarang of citizens group number 2. 3 and 4 of the interview questionnaire. Probability sampling is used in this research with simple random sampling by lottery technique sampling. Data analysis uses univariate and bivariate.
Result:Based on the Chi Square test gets score X2 19.931 with p value (0.000) < α (0.05). It means there are relations between women's attitude to cervicitis prevention behavior with screening checkup in Kalibanteng Kulon district Lebdoasari Semarang.
Conclusion: There are relations between fertile women attitude (age 20 – 35 years) to cervicitis prevention behavior with screening check-up in Kalibanteng Kulon District Lebdosari Semarang
THE EFFECT OF COMBINED MARMET AND OXYTOCIN MASSAGE TO COLOSTRUM PRODUCTION AMONG SECTION CAESAREAN MOTHER
Get PDFBackground: Barriers to breastfeeding occurred on postpartum mother after section caesarean due to postoperative pain can inhibit nerve posterior pituitary gland that produces the hormone oxytocin that plays a role in the process of lactation. Marmet technique is one safe way that can be done to stimulate the breast to produce more milk, whilst oxytocin massage is conducted along the vertebrae to costae fifth, sixth and an attempt to stimulate the hormones prolactin and oxytocin after delivery.
Aims: The objective of this study was to analyze the effect of marmet and oxytocin massage combination in improving colostrum production.
Methods: The population in this study was a postpartum mother after 2 hours delivery. A total of 18 postpartum mothers were involved, divided into 9 treatments and 9 controls. Observations included viewing data on time measurements and the amount of colostrum secreted through the breast of the post-partum mother (instrument = syringe and spoon) and for measuring the oxytocin massage of the researcher using the oxytocin massage guide.
Result: The average time of postpartum mothers in the intervention groups to produce colostrum after Marmet and massage techniques combined oxytocin (treatment group) was of 5.86 hours whilst mothers who do not receive any treatment able to produce after 5.89 hours. Statistical test results in getting P value = 0939, p value ie p> α (0.05), indicating there is no effect of the combination of massage techniques Marmet and oxytocin on colostrum production among post section caesarea mothers.
Conclusions: Providing education for mothers and families is needed in order to support the production of colostrum sooner after birth
THE EVALUATION OF EARLY INITIATION BREASTFEEDING PRACTICE in Dr. mohammad hoesin hospital palembang
Get PDFBackground: Compared to other countries, the rate of EIB in Indonesia remains low (34,5%). During our practice, particulary in delivery room, we often find practices which delayed EIB. The recent finding that early initiation of breastfeeding (EIB) could substantially reduce neonatal mortality should result in more comprehensive efforts to increase the number of infants breast-fed within an hour of birth. Such efforts can only be effective if policies and guidelines are based on a solid knowledge of the barriers and facilitators for EIB.
Aims: To evaluate EIB practice in Dr. Moh. Hoesin hospital.
Methods: This was an analytic observational study, using cross sectional design. Our populations were all of afterbirth mothers (spontaneous or abdominal delivery), doctors, midwifes, as well as managerial policy holder. Samples were selected by purposive sampling. Data was obtained from the questionnaire which have been tested for validity and reliability. This study included 29 doctors and 14 midwifes as EIB implementers; also 12 managerial staffs.
Results: During the periodNovember to December 2016, there were 19 (51.3%) patients with post spontaneous or abdominal deliverypracticed EIB and 18 (48.6%) patients did not practice EIB. Most of patients in "no EIB group” had abdominal delivery (p = 0,003). Most of patients complained that no EIB policy in operating room. Most of implementers stated that EIB already done well. The EIB implementers complained that there was lack of support about EIB practice from hospital manager and maternal level of knowledge was low. Our study found the disintegration between the managerial and executive staff, causing ambiguity in the practice of the EIB.
Conclusion: The opportunitiy of EIB practice was affected by medical condition ofmother and fetus,method of delivery, hospital support, EIB policy socialization, and patient's knowledge. There were so many challenges for our hospital to practice EIB, such as no EIB policy in operating room,the mother's condition wasnot possible to practice EIB, knowledge of the managerial about EIBdiffer greatly, low socialization about regulations and other elements of the EIB implementation. Thereis also disintegration between the managerand executive staff causing ambiguity in the practice ofEIBand the lack of supervision of EIB practice in the field
FACTORS INFLUENCINGPATIENT SATISFACTIONA SYSTEMATIC REVIEW
Get PDFBackground: Along with the progress of time, hospital as service provider is required to provide better services. The challange for hospitals is to fulfill the expectations of society for better health care. Patient satisfaction is a comparison between the perceptions care received by expectations before getting treatment.
Aims: This is to evaluate patient satisfaction as an effort to see the levelof success of the hospital.
Methods: The method was a systematic review by using the search facility online. Only research in english language and describe factors that influence patient satisfaction is maintained. The results of this study were 565 journals found at early stage and at the end we found 7 journals in review.
Results: The purpose of research is to describe the level of satisfaction of hospital. all the four items namely performance of housekeeping staff, operational x-ray facilities, maintenance of file records and transparent billing procedure are significant in predicting satisfaction towards internal facilities provided in the hospitals.
Conclusion: Overall, on the articles reviewed accepted that all the patient satisfaction dimensions positively and significantly contribute towards patient satisfaction which also acts as an important mediating factor between dimensions and loyalty.
 
TEACHERS AS AGENTS OF CHANGE: SCHOOL-BASED DIAGNOSIS AND TREATMENT OF MALARIA POSITIVELY IMPACTS CHILD MORBIDITY
Get PDFBackground: Teachers in developing countries traditionally send home children found sick in class. Yet infection due to malaria is the principal reason a child will miss school in sub-Saharan Africa and the leading cause of death in school-aged children. Rapid diagnostic testing (RDT) and treatment with artemesinin combination therapy (ACT) is the management for malaria recommended by the World Health Organization (WHO) but RDT/ACT are not available in schools.
Aims: To evaluate the impact on child morbidity from malaria of engaging teachers to provide RDT and administer ACT in primary schools in rural Uganda, using duration of absence from school as a surrogate measure of morbidity.
Methods: This was a 2 year project.Pre-intervention (year 1) we trained teachers to identify probable infectious illness, conduct RDT, and administer ACT; conducted baseline evaluation of malaria knowledge, and monitored days of absence from school. Intervention (year 2) trained volunteer teachers administered RDT to children found to be sick at school and treated those positive with ADT; data collection was ongoing.
Results: Teacher administered RDT/ACT was implemented and sustained in 4 rural schools (grades primary 1-5). Teachers participated willingly. Year 1 (pre-intervention) 953 of 1764 pupils were sent home due to illness; mean duration of absence from class was 6.5 (SD 3.17) school days. Year 2: (intervention with RDT/ACT) 1066 of 1774 pupils were identified as sick, 765/1066 (67.5%) tested positive by RDT for malaria and received ACT and their duration of absence fell to 0.59 (SD 0.64) school days (p<0.001); and overall absence decreased to 2.55 days from 6.5 in year 1 (p<0.001).
Conclusion: RDT/ACT use by teachers as a school-based health practice is novel and reduced child morbidity significantly. Our model of engaging and training teachers represents a community empowerment approach applicable to other low-resource settings worldwide where malaria is endemic and morbidity high
RELATIONSHIP BETWEEN MOTHER'S PARTICIPATION IN SUPPORT GROUPS WITH EXCLUSIVE BREASTFEEDING PRACTICE IN PUSKESMAS UMBUL HARJO I YOGYAKARTA, INDONESIA
Get PDFBackground: By the Indonesian Demographic and Health Survey (IDHS) in 2012, infant mortality rate in Indonesia is still quite high at 32 deaths per 1,000 live births. The majority of infant deaths occur in the neonatal period. The main capital in achieving quality health starts since the beginning with breastfeeding without any additional food in this case of exclusive breastfeeding. Many mothers do not provide exclusive breastfeed due to social factors (maternal employment, social, cultural, supportfamily).
Aims: This paper explains the relationship between the rate of participation in maternal supporting group with the success of exclusive breastfeeding program in Community Health Centers Umbulharjo I Yogyakarta in 2014.
Methods: This study employed correlation analytical survey with cross sectional approach. The samples were 30 mothers who having a baby age 6 to 12 months, and participated in a maternal supporting group.
Results: Of the 30 respondents, 26 (86.7%) of respondents successfully breastfeed exlusive. Of which 23 respondents (76.7%) with a participation rate of mothers in support groups with good category, 22 (73.3%) were successful exclusive breastfeeding and 1 (3.3%) of respondents who did not give exclusive breastfeeding, in the medium category 3 respondents (10.0%), 2 respondents (6,7%) were successful exclusive breastfeeding, and 1 (3.3%) of respondents who did not give exclusive breastfeeding, and low category 4 respondents (%13.3), 2 respondents (6,7%) were successful exclusive breastfeeding and 2 (6.7%) of respondents who did not give exclusive breastfeeding. The participation rate of mothers in maternal supporting group affects the success of exclusive breastfeeding with the P value = 0.026.
Conclusion: There was a significant relationship between the rate of participation of mothers in maternal supporting group success exclusive breastfeeding mothers. The social relations become very important to increase the exclusive breastfeeding through mother support groups
FACTORS ASSOCIATED WITH IRON ANEMIA DEFICIENCY IN CHILDREN AGED 12 TO 36 MONTHS IN PUBLIC HEALTH CENTER JATILAWANG, BANYUMAS CENTRAL JAVA
Get PDFBackground: According to the WHO, anemia prevalence in preschool children in the world obtained 47.4% from the total population of anemia sufferers. Indonesia collected 44.5%, therefore, it was included in the prone region to anemia cases in pre-school children. Iron Deficiency Anemia (IDA) was closely related to low birth weight babies and premature age, nutritional status, socio-economic and low maternal education. Children who experienced anemic iron deficiency (ADB) in infancy at risk of barriers to growth and development
Method: This was a cross sectional study. The population covered all healthy children aged from 12 to 36 months. The sample on the study determined by consecutive sampling, 152 subjects were selected. Examination conducted by the method Hb and serum ferritin cyanmethemoglobin using ELISA method. Data analysis used chi-square and Logistic Regression.
Results: The prevalence of IDA in Puskesmas Jatilawang Banyumas regency was 28 cases (18.4%). Malnutrition status, maternal education and family income contributed a significant relationship to the incidence of iron deficiency anemia in infants. Children with malnutrition status collected 10.5 higher risk than children with good nutrition. Children with mother education backgrounds were only at Elementary School or Junior High School supported 12 times greater iron deficiency anemia (95% CI: 12,16- 202.5), and children who came from families with incomes <Rp 1.100.000,- obtained 7.08 times iron deficiency anemia(95% CI: 1,70- 29.3).
Conclusions: The prevalence of iron deficiency anemia was 18.4%. Malnutrition status, maternal education and family income were risk factors of anemic iron deficiency in children aged 12 to 36 months in Puskesmas Jatilawang Banyumas.
 
THE DESIGN OF RADIOLOGY VIEWING BOX USING POTENTIOMETER SYSTEM
Get PDFBackground: In the process of work to gain the maximum results, a radiologist needs a viewing box tool to read radiographs. Aims: to create a viewing box tool by using a potentiometer system.
Methods: This study used applied research method by creating and using the design of viewing ox tool by using a potentiometer system and testing the viewing box tool created by using a Lux meter and 15 respondents consisting of five radiologists and 10 radiographers who should fulfill the questionnaire form.
Results: The mean of viewing box illumination reached 220 lux. The results of the questionnaire showed that 100% radiologist gave an A (excellent) and expressed that the viewing box tool created could be used properly and 90% radiographers provided an A (excellent) and expressed that the viewing box tool created could be used properly, while 10% radiographer gave a value ofB (moderate).
Conclusion: viewing box tool created could be used properly and obtained optimal results as a tool in reading radiographs. Potentiometer system contained in the viewing box was very helpful in reading radiographs because it allowed to adjust the light intensity according to user needs.
 
CONSTRUCTION DESIGN OF AN ASSISTING TOOL FOR IMMOBILIZATION IN THORAX AND ABDOMEN EXAMINATION ON PEDIATRIC PATIENTS
Get PDFBackground: The main idea of designing an assisting tool for immobilization in pediatric thorax and abdomen examinations is that there are radiographer's difficulties while performing radiographs, especially pediatric thorax and abdomen.
Aims: This study aims to design of appliance assist for immobilization thorax and abdomen examination on pediatric patients.
Methods: This study was an exploratory experiment by designing, applying and testing the construction of an assisting tool for immobilization in thorax and abdomen examination on pediatric patients. The methods used in data collection were interview and observation. Function test results were analyzed based on the check list of the respondents regarding the feasibility of the tool.
Results: an assisting tool for immobilization in thorax and abdomen examination on pediatric patients was designed in examination table-shaped made of basic materials such as acrylic, hollow steel and Eser steel plate. Function test on the work of the assisting tool was performed by 6 respondents who applied it to the patient. Based on the function test results, there was of 89,5% respondents who stated that the tool for immobilization in thorax and abdomen examination on pediatric patients could help the performance of the radiographer in positioning and reducing the patient's movement and there was no artifact in the radiographs.
Conclusion: Function test results showed that the tool design could reduce the movement of patients and may replace the function of others to resist the movement of the patient. An assisting tool for immobilization in thorax and abdomen examination on pediatric patients should be improved further especially in choosing the material used, so that the toll will be lighter and canbetter reduce the patient's mobility and the size should consider the average height of the pediatric patients.