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Experience of the Healthworkers in Conductin Methadone Rehabilitation Therapy at the Public Health Center
Get PDFMethadone Maintenance Therapy Program (PRTM) is a service of maintenance given to IDUs who are in public
health centers, such as the provision and delivery of Methadone (as legal drugs) taken orally (taken by mouth),
to replace the drugs (illegal drugs) consumed by injecting. The development of these services requires
management to achieve the optimum quality of service from the health providers. This study aims to explore the
experience of the services of health workers in conducting PRTM at the Manukan Kulon and Jagir public health
centers. The study design was qualitative with phenomenological approach. In-depth interviews with participants
who act as service giver of Methadone in Rehabilitation Therapy at Jagir and Manukan Kulon Public Health
Centers. This research resulted in six themes, namely, the person in charge ofPTRM at public health center has
a role and dual tasks which affect the optimal service given at the public health center, receiving or feeling relived
to do multiple roles, implementation of monitoring and evaluating roles are optimal, the implementation of the
organization role is optimal, the implementation of the role for monitoring and evaluation systems are optimal,
barriers to implement the PTRM service at public health center due to the limited employee in terms of quantity
and the behavior ofrehabilitation clients. The hope of the person in charge of the implementation of PRTM at the
public health center and the management is to increase attention and empowerment on methadone rehabilitation
clients. The conclusion of this study is that there are dual roles accepted by the health workers
Determinants of utilization of antenatal care services among adolescent girls and young women in Indonesia
Get PDFDue to the high number of maternal deaths, provision of antenatal care services (ANC) in Indonesia is one of the key aims of the post-Millennium Development Goals agenda. This study aimed to assess the key factors determining use of ANC by adolescent girls and young women in Indonesia. Data from the Indonesia Demographic and Health Survey 2012 were used, with a focus on married adolescent girls (aged 15�19 years,n = 543) and young women (20�24 years,n = 2,916) who were mothers. Bivariate and multiple logistic regression analyses were performed to determine the factors associated with ANC use. The findings indicated that adolescents were less likely to make ANC visits than young women. Richer women were more likely to make four ANC visits in both groups compared to the poorer women. Living in urban areas, higher educational attainment, and lower birth order were also all associated with higher levels of receiving ANC among young women. The results showed that socio-economic factors were related to the use of ANC among adolescent girls and young women. Ongoing health-care interventions should thus put a priority on adolescent mothers coming from poor socio-economic backgrounds
Suami SIAGA: male engagement in maternal health in Indonesia
Get PDFSuami SIAGA, which translates literally as the 'alert husband', is a national campaign that was created in early 2000 to promote male participation in maternal and child health program in Indonesia. The purpose of this study was to identify the proportion of men who took part in Suami SIAGA and the factors associated with their participation using the 2012 Indonesia Demographic and Health Survey (IDHS). This study also examined the relationship between Suami SIAGA and the following results related to the national campaign: the presence of husbands at antenatal care (ANC) units and the place of delivery at health facilities. Data on the characteristics of husbands and wives, as well as other related factors, the perceived elements of Suami SIAGA, and the national campaign outcomes were obtained from a total of 1256 eligible male subjects, drawn from the matched couples' data set. The data was analysed using bivariate and multiple logistic regression to test the associations. This study found that 86% of the respondents were categorised as SIAGA husbands. After controlling all the variables, age and education of wife factors were significantly associated with Suami SIAGA, especially in the group of women aged 41-49 years old (OR = 2.4, 95% CI: 1.1-5.5) and women with a secondary level of education (OR = 1.8, 95% CI: 1.2-2.7) and higher (OR = 2.8, 95% CI: 1.4-5.6). SIAGA husbands were more likely to attend their wives' ANC (OR = 2.3; 95% CI: 1.4-3.7). This study provides evidence on the benefit of husband involvement in maternal health, especially to improve ANC attendance. Empowering women themselves should also be addressed in leveraging the impact of Suami SIAGA
A SYSTEMATIC REVIEW OF COGNITIVE BEHAVIOR THERAPY (CBT) AND INSOMNIA
Get PDFIntroduction: Insomnia is difficulty in maintaining sleep can be transient or persistent. One of the
non-pharmacological therapy that can be applied to reduce insomnia is CBT. CBT is a collection
of behavioral and cognitive techniques that are considered effective for treating insomnia. To
evaluate the effectiveness of CBT in reducing insomnia. Methods: The source article is used
obtained from a search through the database include Google Scholar, Science Direct, PubMed, and
ProQuest.This search is restricted to start from year 2003 to 2017. The article Inclusion criteria
were: 1) the study design RCT, 2) the treatment given is cognitive behavior therapy,3) samples
were from people who had insomnia, and 4) the parameters considered is the level of insomnia,
Once obtained, then do research articles to the extent of making systematic review. Results: CBT
proven effectively reduce insomnia. Conclusion: CBT is one of the non-pharmacological
therapies that can help reduce insomnia.
Keywords: CBT, insomnia, intervention insomni
PERSPECTIVE DEPRESSION IN SOME GROUPS IN SOCIETY: SYSTEMATIC REVIEW
Get PDFIntroduction Depression is a mental health problem that often occurs mainly in the setting of
primary care services, which is still a challenge for the health of the world to continue to do
research. Depression is also a considerable contribution can be considered as the Global Burden
of Disease, and according to WHO, depression will be the most important disease in 2030.
Methods: search articles in the database online including Science Direct, Gale, DOAJ and
HOAJ with entering keyword depression, community groups, drug abuse, adolescen and
pregnance. Of the 28 journals of the depression 15 journals we select and use to do systematic
review. Results: Research have founded factors that influence signifikant against depression
such as pre- and post-natal women, social and economic status, self-efficacy, and assertiveness.
Conclusion Although much research about depression but had not answer the problem of
depression is increasing in society.
Keywords: depression, community groups, pregnance, adolescent and drug abuse
THE EFFECT OF SPIRITUAL EMOTIONAL FREEDOM TECHNIQUE TO INCREASE SELF ESTEEM OF SCHIZOPHRENIA IN MENTAL HOSPITAL SURAKARTA
Get PDFIntroduction: Schizophrenia is a chronic psychotic with the prevalence of schizophrenia in
Indonesia is 70%. The schizhophrenia often accompanied by negative feelings self-perception,
and self-efficacy, helplessness, anxiety, behavioral changes. The number of schizhopheria in
Mental Hospital in Surakarta was 93% in 2008. Physical treatment of schizophrenia patients
were included drug delivery and Convultion Electro Therapy (ECT). These treatments were
considered unsufficient so that psychological approach such as psychotherapy can be taken into
account. One provision of psychotherapy patients with schizophrenia is Spiritual Emotional
Freedom Technique (SEFT) which can help individuals to develop skills in improving the
coping mechanisms, reducing anxiety and increasing self-esteem. This study is aimed to
determine the effect of SEFT to change coping mechanisms, anxiety, self-esteem in patients
schizophrenia in Mental Hospital, Surakarta. Method: The research method was quasi
experimental with pre-post test with control group. The data was gathered before and after
giving the SEFT interventions in intervention and control group of schizophrenia patients.The
amount of samples were 64 respondents which were 32 respondents of intervention group and
32 respondents of control group. The research instrument was adapted from Coopersmith Self
Esteem Inventory (CSEI) that consist of 58 items regarding self esteem. Data were analyzed
using paired t-tests., Independent t-test multiple linear regression. Result: The results of this
study showed that there was a significant difference of self esteem before and after SEFT (p
value <0.05). Conclusion: This proves that the existence of a significant change in the patients
in the intervention group SEFT than the control group. The conclusion is that the level of self
esteem could be increased by SEFT with the probability score is 31.3% and could increase
point 4.312 point for self esteem degree.
Keyword: Schizophrenia, Self Esteem, Spiritual Emotional Freedom Technique (SEFT
EMERGENCY CONDITION AND VULNERABILITY AND MITIGATION EFFORTS TO FORM SAFE COMMUNITY IN THE TERITORY OF PUSKESMAS CEPER KLATEN
Get PDFIntroduction: Indonesia is situated in the ring of fire where more than 90 volcanoes are distributed.
The rain volume is also very high and more than thousand rivers acrros this nation. This
characterisic may result in natural disaster. Economy, politic, culture, public safe and stability may
also lead to potensial man made disasters. One of the regions that often experience disaster is Klaten
district. The aims of study to evaluate public preparness toward disaster in four districts in Klaten.
Methods: The method of the study is exsperimental research design. Questionnaire was used for
Pretest-Postest in order to evaluate the effectiveness of delivering education of disaster
management. Sampling technique uses total sampling with 135 respondents. Result: The study
shows that there is significant change of the public knowledge about their preparedness to face
disaster. As it can be seen from the Wilcoxon Signed Rank Test of Z value -8.549 with p value
(Asymp. Sig 2 tailed) is 0.000 that less than critical limit of 0.05. Conclussion: Education of
disaster management is verry esential to public preparedness in order to reduce the impact of
disaster.
Keywords: knowledge, public preparedness, disaster management
THE DIFFERENCES OF NEWBORN WEIGHT INFANT TOWARD SOIL TRANSMITTED HELMINTHES INFECTION IN PREGNANCY
Get PDFIntroduction: Maternal nutrition status before and during pregnancy has affect toward intersuterine
growth. This research aimed to differences of newborn weight infant toward soil
transmitted helminthes infection with uninfected. Method: This research is observational
research with cross sectional approach. Samples in this research took with consecutive
sampling, total samples in this research were 50 people. Instrument of the research used
questionnaires, enterotest, baby scale. Processing and analysis data used independent t test.
Conclusion: There were differences of newborn weight infant in mothers infected of soil
transmitted Helminthes (0,046).
Keywords: Soil transmitted helminthes infection, newborn weight infant
EFFORT TO IMPROVE THE ABILITY OF NURSE IN APPLYING THE PATIENT CENTERED CARE (PCC) IN HOSPITAL
Get PDFIntroduction: Patient Centered Care (PCC) is a new paradigm in health care, which puts the
patient as the center of care. PCC not only to leverage the benefits of technology without
compromising the importance of human to human interactions. Research related to the
implementation of PCC in Indonesia is still very limited. The purpose of this study is to establish
the effectiveness of the PCC training nurses to improve patient’s perception the application of
PCC. Methods: This study uses a Quasi - experimental with pretest – posttest design. The
research sample for the intervention group was inpatients of Harjono Hospital and the control
group were inpatients of Iskak Hospital by using purposive sampling technique. PCC
deployment training given to all nurses inpatient dr. Harjono Ponorogo Hospital by using total
sampling. Results: The results showed statistically with P value 0,000 and α 0,05 that means
significant improvement in patients' perceptions about the application after receiving training
PCC. But when viewed from a clinical application, this training does not show satisfactory
results. Conclusion: PCC training is effective to increase the application of PCC seen from the
patient's perception even though the results obtained are less satisfactory. Necessary efforts in
monitoring of hospital managers to monitor the implementation of the PCC in the hospital.
Keywords: training, Patient Centered Care (PCC), patient’s perceptio
THE EFFECT OF LEBOYER METHOD TOWARD ANXIETY DECREASE ON MATERNITY MOTHERS
Get PDFIntroduction: According Leboyer that the labour environment is a method in a normal delivery. Sound noise around
mothers who will give birth and the sound of people who were around mothers who will labour, until now there has
been the centre of attention or noticed by birth attendants but this labour environment is very important. This method
of conditioning the mother gives birth in a quiet room with soft music and soft voices have to minimize the stress and
anxiety that will birth mother. This study aims to determine the effect of labour Leboyer method to decrease maternal
anxiety. Methods: This study uses a design quasi-experimental with research design, two groups. intervention
control The number of samples in this study was 15 people in the intervention group and 15 in the control group.
Sampling was done by using purposive sampling. This study conducted in Bumi Sehat clinics and Gianyar Public
health centres Ubud I Bali Province. Results: Data analyzed using-test independent with statistical test result it can
be concluded that there is influence labour of Leboyer method to decrease maternal anxiety in the intervention group
and control group (P = 0:00). Discussion: From the results of this research that labour Leboyer is an effective
method to reduce maternal anxiety so that midwives can apply the Leboyer method in providing care to maternity