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The Utilization of Postnatal Care in South Sulawesi (Data Analysis of the Indonesia Demographic and Health Survey 2017)
Get PDFThe main problem that is still faced with maternal health in Indonesia isthe high Maternal Mortality Rate (MMR). It is estimated that 60% ofmaternal deaths in Indonesia occur after postpartum, and nearly 50% ofdeaths during childbirth occur within the first 24 hours after delivery.Some causes of maternal death, such as postpartum complications andpostpartum bleeding, can be prevented through the puerperal careprogram. The study aims to determine the factors associated with apostpartum examination in South Sulawesi Province. This study usescross-sectional study design in 393 couple’s age 15-49 years by usingdata from IDHS 2017. The hypothesis was tested with a chi-square test(p<0.05). The results obtained by variables related to the utilization ofchildbirth services in South Sulawesi are education (p=0.000), birth order(p=0.026), place of childbirth (p=0.000), wealth quintiles (p=0.000),distance to health facilities (p=0.020), and complication during delivery(p=0.000). Variables not related to postpartum service use are age(p=0.507), occupation (p=0.232), and ANC visit (p=0.077). A compre-hensive effort is needed by involving various media and elements ofsociety to encourage mothers to use health care, especially after post-partum
Rapid Assesment Pencatatan Sipil dan Statistik Hayati di Tiga Daerah di Indonesia
Get PDFA good Civil Registration and Biological Statistics system are the basis for planning, monitoring, and evaluating development programs. Decision-makers and policies are highly dependent on timely, complete statistical data and reliable methods. Therefore it is necessary to do a Rapid Assessment which aims to conduct a quick evaluation of the strengths and weaknesses of the current birth, death, and cause of death registration system. The method is qualitative research with discussion methods and information confirmation. The rapid assessment questionnaire is from WHO. It contains 25 questions. The research location was chosen purposively, namely Padang Pariaman Regency, Makassar City, Kudus Regency. The research took place in August 2019. The total rapid assessment scores of Padang Pariaman Regency, Makassar City, and Kudus Regency were 42.67%, 49.33%, 57.33% respectively. The total scores in the 3 study areas are in the same range of values, 34-64%. This range of values indicates that many aspects of the system are not functioning properly, and many problems require attention. Three research areas have different shortcomings. We need different strategies that depend on their characteristics and require cross-sector collaboration
Disability and Depression among Population Aged 18-59 Years in Central Sulawesi Province: Analysis of Riskesdas 2018
Get PDFThe prevalence of depression among the general population in CentralSulawesi was the highest in Indonesia (12.3%). Scholars revealed thatdisability was one of the main contributing factors of depression and in Central Sulawesi almost half of population was reported having disability (42.1%). This study was intended to identify the association of disability and depression in Central Sulawesi. Cross sectional design study was conducted with utilization of secondary data collection from Riskesdas 2018. Depression, as the main outcome, was assessed by the Mini International Neuropsychiatric Interview (MINI), meanwhile, disability was assessed by the WHODAS instrument. The relationship between these two variables was adjusted by several confounders, namely age, gender, marital status, educational status, and employment status. A 11,9% of 11,926 respondent aged 18-59 years old, was depressed and almost half of them reporting disability (42.1%) and among those who were disabled, one-fifth weredepressed. The risk of depression among respondents with disabilities was 3.25 times higher (p=0.000; 95% CI 2.9-3.6) compared to respondentswithout disability after controlled by confounders (gender, marital status,educational status, and employment status). It is recommended that routine mental health screening needs to be done at Posyandu, Posbindu and among patients at Primary Health Care. Besides, health promotion focused on physical activity in a community such as community gymnastics during theweekend
Analysis of Real Costs and INA-CBG of Hyperthyroidism in Hasanuddin University Hospital
Get PDFHyperthyroid disease requires continuous treatment with not cheap medicalcosts. For JKN participants, the cost of treating hyperthyroidism has been fullycovered by BPJS through the INA-CBG package. However, there is often amismatch between the INA-CBG package and the real hospital costs thus causinglosses for the hospital. This research is a comparative study with a hospitalperspective and the purpose of this study is analyze difference between directmedical cost of hospitals and INA-CBG package for the treatment of JKNoutpatient hyperthyroidism patient in Hasanuddin University Hospital (RSUH)Makassar using data from January 2017 to December 2018. Data collection wascarried out by retrospective observational and data analysis using statistical non-parametric tests. The results showed that INA-CBG package cannot cover allcomponents of the costs of treating hyperthyroid disease. The laboratory cost hasa proportion of 83% of the total medical cost, which is an average of IDR465.683,70 every patient. Meanwhile, the INA-CBG rate with code Q-5-44-0 onlycovers medical expenses of IDR 185.500 every patient. The conclusion of thisstudy shows that there is a negative difference (-) between the real cost of thehospital and the INA-CBG rate, which is IDR 34.406.900,00 and an average of IDR373.988.04 every patient. The recommendation is related to adjustment of theINA-CBG rate to cover the riil costs
Faktor Dukungan Sosial terhadap Pencegahan HIV pada Ibu Hamil
Get PDFHIV is one of the priorities of the disease of death in the sufferer. Programs implemented to prevent mother-to-child transmission of HIV are Prevention Mother To Child Transmission (PMTCT.). This study aims to determine the factors of social support with the efforts of pregnant women in the prevention of HIV transmission from mother to child in the working area of the Puskesmas Jumpandang Baru Center in Makassar. The type of this research is observational analytic with a cross-sectional design. The population in this study were all pregnant women who performed ANC in trimester 1,2, and 3 at the Puskesmas Jumpandang Baru Center in Makassar in years 2017 as many as 420. Sample in this research as many as 104 samples taken by using a systematic sampling method. The data analysis performed was univariate and bivariate with the chi-square test. Based on the results of the study it is known that from 104 respondents there are 65 people who have sufficient HIV prevention efforts. Variables related to prevention of mother-to-child transmission of HIV, peer support (p=0,000), husband support (p=0,002), support of health workers (p=0,000), and attitude (p=0,000). While unrelated variables is parity (p=0,462). There is a relationship between attitude, friend support, husband support, and support of health workers with efforts240 of 246 Ida Leida M. Thaha, et al | MKMI | 16(2) | 2020 | 239-246to prevent transmission of HIV from mother to child. Advice to health workers should be more emphasis on providing information about HIV and PMTCTso it can affect the attitude of pregnant women in the prevention of HIV transmission from mother to child
Pengaruh Agar-agar dan Jus buah Naga terhadap Kadar Hemoglobin pada Ibu Hamil
Get PDFPregnant women have a high risk of anemia. Iron deficiency is one of the causes of anemia. One alternative to prevent anemia in pregnant women by consuming fruits that contain high iron and vitamin C such as dragon fruit needed to synthesize hemoglobin. This study aims to determine the effect of dragon fruit jelly and juice on the hemoglobin level of pregnant women in the working area of the public health center in the South City of Gorontalo in 2019. The research method used pre-experimental with one group pre-posttest. The population was pregnant women during their second and third trimester of pregnancy with a total of 366 pregnant women. The sampling was conducted through a purposive sampling of 60 pregnant women. Data analyzed with t-test. The results of the bivariate analysis, 87,3% of respondents who consume dragon fruit jelly, a hemoglobin level of them increased with an average 11,08 gr/dL, and 90% of respondents who consume dragon fruit juice, a hemoglobin level of them increased with an average 11,17 gr/dL. The data analyzed applies a t-test which obtains p = 0,001. Consumption of 250 ml dragon food jelly and juice every day for 14 days can raise the amount of hemoglobin in pregnant women
Gambaran Faktor Risiko Kontaminan Biologi pada Uji Lingkungan di RSU “Y” Surabaya
Get PDFHospitals as a place of health care and workplace have a variety of potential hazards that can harm health. One of the efforts of the hospital environment can be done by conducting supervision and inspection. The purpose of this research, to describe the risk factors of biological contaminants in the environmental test results conducted in Surabaya General Hospital "Y". This research was descriptive research with a cross-sectional approach. This research uses secondary data of the laboratory test results of BBTKLPP Surabaya in 2015-August 2017, as well as literature from several sources to support the data available. Data were analyzed in a descriptive and presented in the form of tables and graphs. The results of biological examinations on air space, food and beverage, medical device swab, air conditioner, and clean water in unqualified conditions. Only the quality of the wall swab and floor can be said to be good and qualified. Public hospital "Y" Surabaya is still not qualified in terms of quality microbiology tests based on the decree of the Minister of Health of the Republic of Indonesia number 1204 the year 2014 on health requirements of the hospital environment. A thorough evaluation is necessary to improve the quality of microbiology in the environment in the hospital Y Surabaya, especially in areas with high risk such as surgical rooms and ICU
Puzzle Gizi sebagai Upaya Promosi terhadap Perilaku Gizi Seimbang pada Siswa
Get PDFHealth education, especially nutrition needs to be done for children from an early age such as elementary school students. This is an effort to create awareness of balanced nutrition behavior in everyday life. One way of health education that needs to be done by students is to use educational media such as nutritional puzzles. This study aims to analyze differences in behavior (knowledge, attitudes, and actions) before and after the intervention using a nutrition puzzle. This study uses a Pre Experimental design One Group Pre-test Post-test design with a sample of 53 respondents obtained by sampling that is proportional stratified random sampling, and data analyzed using the McNemar test. The results of the study describe the characteristics of 19 men and 34 students from women, data analysis illustrates knowledge (p = 0.001), attitude (p = 0,000) and action (p = 0,000) which means knowledge, attitude and actions have differences before and after given an intervention using a nutrition puzzle. There should be a way of balanced nutrition promotion among elementary school students who support changes in behavior (knowledge, attitudes and actions) of students towards healthier lifestyles
The Study of Correlation Between Heavy Metal Levels in Environment and Autism Case in Samarinda and Bantul
Get PDFAutism is a disorder of pervasive development in children, which until now,the exact cause is unknown. The strongest allegations are genetic andenvironmental factors, especially heavy metals. This study aims to look therelationship between the occurrence of heavy metals pollution with theautism cases in Samarinda and Bantul. This study was carried out bymeasuring the levels of heavy metals in fish, vegetables, water and soil andalso hair of 30 autistic children and 10 control children in Samarinda and 30autism 4 control in Bantul.All samples were measured their heavy metalcontent (As, Hg, Cd, Pb) at The Central Nuclear Applied Science andTechnology Laboratory in Bandung. The result compares with the standardvalue and were found that the samples was exceeding the heavy metals valuein Samarinda is Arsenic in fish, lead in fish. While in Bantul, Mercury in fish,mercury in vegetable and lead in vegetable. In the hair samples result, thelevel of arsenic, mercury and lead were higher in autism children comparedto controls in Samarinda, while in Bantul only mercury and lead levels arehigher in hair of autism children than controls. Cadmium levelswere nodifference between autistic and control hair both in Samarinda and Bantul
The Determinants of Healthcare Cost for Glaucoma Patients in Cicendo Eye Hospital, Bandung, Indonesia
Get PDFGlaucoma is the second foremost cause of impaired vision. People whosuffered from Glaucoma face the independent expenditure for thetreatment as blind people with Glaucoma could not be cured perfectly.This study intends to analyze the effect of age, types of patient care, typesof Glaucoma, and types of payment on the total cost of care of glaucomapatients at Cicendo Eye Hospital, Bandung, Indonesia. This study uses3,358 patient medical records of Cicendo Eye Hospital, Bandung,Indonesia, in 2018. The 3,358 samples were selected from the patient’smedical record based on patients’ categories indicated or convicted ofhaving Glaucoma. Robust Linear Regression is applied in this study tomeasure the additional cost for Glaucoma treatment. The results showedthat the total cost of patient care was positively and significantly affectedby hospitalization status (p=0.000), age (p=0.000), times of treatment(p=0.000), having primary glaucoma (p=0.000), having congenitalglaucoma (p=0.000), and presence of intraocular (p=0.000). Conversely,patient care’s total cost was negatively and significantly affected usinginsurance (p=0.082). This result would be a precautionary measure forthe medical institution to consider better financial planning, servicedelivery improvement, and the patient’s payment scheme effectiveness