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Factors influencing Indonesian women's use of maternal health care services
Get PDFAbstractEmploying the 2012 Indonesia Demographic and Health Survey data, we aimed to examine factors influencing married women to use maternity services. Data of married women who had given birth in the last five years before the survey were included in the analysis (n = 14,672). Factors of education, employment, women's age at first marriage, age at first birth, spousal education difference, contraceptive use, place of residence, and woman's attitude toward wife beating were associated with the use of antenatal care, institutional delivery, and postnatal care services. The likelihood of women using those recommended maternal health care services increased along with the increased educational attainment among women and their spouses, and the older age at first birth. Higher schooling years may contribute to improving adequate maternal health care. Community awareness on maternal health issues should be promoted and to include the prevention of early marriage, teenage pregnancies, and domestic violence.By the end of Millennium Development Goals (MDGs) the maternal mortality ratio (MMR) has been successfully reduced by almost half since 1990 (United Nations, 2015). Nevertheless, more than three hundred thousand women around the world died during pregnancy and childbirth in 2015, while millions of women experience risks of obstetric complications and other health problems (World Health Organization, 2015). Almost 59% of these maternal deaths were from ten developing countries including Indonesia (World Health Organization, 2015). This country ranks the fourth highest maternal mortality ratio among Southeast Asia countries after Lao PDR, Myanmar, and Cambodia (ASEANstats, 2015). Based on the 2012 Indonesian Demographic and Health Survey (the 2012 IDHS), the maternal mortality ratio fell slightly from 390 deaths per 100,000 live births in 1991 to 359 deaths per 100,000 live births in 2012 (Bappenas, 2015). Every year, about five million women give birth in this country bringing more concern on this persistent high mortality rate (MoH, 2015).Utilization of maternal health care is central to reducing maternal mortality. Having a minimum of four antenatal care (ANC) visits and childbirth assistance from the skilled health worker are among major essential recommendations to prevent adverse pregnancy outcomes (World Health Organization, 2007). The United Nations (1999) set up the ultimate target of skilled birth attendance at 90% by 2015. Globally, the utilization of maternal health is lower than the expected target as indicated by 71% of births were assisted by health professionals and approximately 50% pregnant women in developing countries received recommended ANC services in 2014 (United Nations, 2015). Compared to this global situation, Indonesia shows a more remarkable achievement. Between 1991 and 2014, the percentage of Indonesian women having four or more ANC visits and the skilled birth attendance increased from 56% to 86% and from 41% to 87%, respectively (Bappenas, 2015). However, the utilization rate of the facility-based delivery services was 63% in 2012 (Statistics Indonesia (Badan Pusat Statistik?BPS), National Population and Family Planning Board (BKKBN), Kementerian Kesehatan (Kemenkes-MOH), Sein, 2012). In their previous study in Indonesia, Beegle, Frankenberg, and Thomas (2001) reported the significant association between variables of age and the husband-wife educational gap, and the use of prenatal and delivery care. Likewise, another study of Indonesia revealed that several factors, such as living in rural region, lower family income, poor maternal knowledge, and high birth orders with closely spaced births (less than two years), had significant associations with the low utilization of ANC (Titaley, Dibley, & Roberts, 2010).As the reduction of maternal mortality remains significant in the next global development agenda, it is imperative to have a better understanding of factors associated with the utilization of three aspects of maternity care ? antenatal, delivery and postnatal services using the most recent available nationwide data. In this study, therefore, authors aimed to examine factors that affect the use of maternal health care services among Indonesian women. We expect that the results of this study contribute to supporting effective policies and approaches as well as identifying further research for improving the utilization of maternal health care
QUALITY OF SLEEP ON THE ELDERLY: A SYSTEMATIC REVIEW
Get PDFIntroduction: Sleep disorders are common health problems reported 39-75% of the elderly.
The presence of sleep disorders in the elderly can lead to poor sleep quality in the elderly.
Pharmacological action in treating sleep disorder continuously will produce unwanted side
effects. Non-pharmacological action lately becomes a crucial issue in the nursing environment
in overcoming sleep disorders. Method: The source of article used is obtained from a search
through the database Proquest, EBSCO, Google Scholar, Scopus, SAGE, and Science Direct.
Search restricted articles ranging from 2008 until 2016. After the articles obtained, then
research articles were extended of making systematic review. Result: Systematic review
resulted 11 of the 13 non-pharmacological intervention options that can be used to improve the
quality of sleep on elderly, in example of acupressure, SSBM, ling tien kung therapy, baduanjin
exercise, exercise training program, gymnastics for elderly, practice of progressive muscle
relaxation, tai chi, sittercise, aerobic exercise, and aquatic exercise. Conclusion: Nonpharmacological
Intervention is part of secondary prevention that can be done to improve sleep
quality on the elderly.
Keywords: non-pharmacological intervention, quality of sleep, elderl
RISKS FACTORS OF CLIENT OUTCOME WITH HEAD INJURY
Get PDFIntroduction: head injury is one of the causes of mortality and morbidity. Several studies
mention predictors over outcome. The objective of this systematic review is to explore and
synthesis factors which contribute to client outcome with head injury. Method: source of
articles used was obtained from the search through data base which includes Pro Quest,
PubMed, and EbscoHost. This search is confined from 2006 to 2016. Subsequently, the
journals were reviewed for systematic review. Result: there were 10 articles reviewed.
Significant risk factors of head injury include socio demographic factors such as old age, male
sex, low education level, clinical factor (GCS), injury due to road traffic accident, hypotension,
hypoxia, increased intracranial pressure, absence of pupillary reaction, hypo and
hyperglycemia, coagulopathy, hypo and hyperthermia, abnormal electrolyte level, episode of
coma, result of intracranial lesion CT scan. Conclusion: outcome predictor in a patient with
head injury will be useful in Triage criteria, prognosis of injury, care and discharge planning,
the use resources and patient and family counseling
Keyword: risk factor, outcome, head injur
FACTORS THAT AFFECT MOTHER’S BEHAVIOR IN THE TREATMENT OF DIARRHEA IN 0 – 5 YEARS OLD CHILDREN
Get PDFIntroduction: Dehydration and mortality caused by diarrhea in less than five years old children
can be prevented if nanny or mother gives rapid and accurate treatment. So, analyzing factors
that affect mother’s behavior in the treatment of less than five years old children diarrhea is
important. This study was to explore factors and analyze the dominant factor that affect
mother’s behavior in the treatment of less than five years old children diarrhea. Method:
Descriptive analytic study with crossectional approach with purposive sampling and 49
respondents. The independent variables were mother’s knowledge, environment and health
resources availability, and family support, and dependent variable was mother’s behavior in
the treatment of diarrhea. Data obtained by questionnaire and analyzed using Spearman Rank
test with α=0.05. Result: There was a correlation between mother’s knowledge and mother’s
behavior in the treatment of less than five years old children diarrhea with r=0.891 (>0.238).
There was no correlation between environment and mother’s behavior in the treatment of less
than five years old children diarrhea with r=0.209 (<0.238). There was a correlation between
family support and mother’s behavior in the treatment of less than five years old children
diarrhea with r=0.564 (>0.238). Discussion: The dominant factor that affects mother’s
behavior in the treatment of less than five years old children diarrhea is mother’s knowledge.
So, increase mother’s knowledge about treatment of children diarrhea is important thing in
Posyandu Ceria I Surabaya.
Keywords: Knowledge, environment, health resources availability, family support, mother’s
behavior, children diarrhea, diarrhea treatmen
THE QUALITY OF PATIENT SATISFACTION WITH SERVICE INSIDE OF HEALTH CARE OF A SYSTEMATIC REVIEW
Get PDFIntroduction:one of the indicators of the success of the health care is the satisfaction of the
patient. The patient's own our satisfaction in service can be determined by expectations
Compared with the fact that accepted by the patient. Methods:A literature search was
conducted in Several major databases such as proquest, ScienceDirect, DOAJ, sagepub,
MEDLINE, and google scholar with the limitation of the time used is the January 2006 through
December 2016. Results: as many as fifteen research raised in this study, all of the which have
almost the same purpose how to Increase patient satisfaction in every population. Fourteen of
the study chose random respondents. Conclusion: patient satisfaction with Significantly, so
that it can be concluded that the Satisfaction of Patients actually Refers to the appearance of the
existence of that care or more perfect appearance of the care, then the more perfect also the
quality.
Keywords: Patients satisfaction, quality of management, the quality of servic
Indonesian Nurses Migration Under Bilateral Agreement: Policy Issues and Responses
Get PDFThe rise of cross-border mobility of nurses has been marked by the creation of unilateral and bilateral agreements among nations. These agreements were intended to establish an ethical framework for the recruitment of professional health workers. Through the Indonesia-Japan Economic Partnership Agreement (IJEPA), Indonesian nurses emigrate to Japan’s health care industry. Despite the potential economic benefits from this migration,
Indonesia itself is facing a distinct challenge in managing national nursing workforce. This
study reviews the different policy approaches to current movement in promoting
sustainability, ethical issues and compliance with the WHO global code of practice on the
international recruitment of health personnel. Constructive dialogues between Indonesia
and Japan by maximizing benefits, improve retention, brain circulation and alignment with
WHO Code should be pursued in ongoing discussions. Comprehensive approaches in three
different stages of migration, pre-migration, immigration and post-migration stage need
integrated management and align it with Indonesia’s situation
Peran Komunikasi Terapeutik dalam Pelayanan Keperawatan
Get PDFSejak dalam kandungan janin sudah melakukan komunikasi, terutama dengan ibu,
sebagai bentuk komunikasi yang pertama kali. Pada saat janin di dalam kandungan faktor
psikologis dari seorang ibu akan sangat berpengaruh dalam membentuk karakter anak yang
berada dikandungan, demikian juga komunikasi yang dilakukan oleh ibu dengan janinnya.
Misalnya; ibu yang dengan kasih sayang membelai perutnya saat hamil, maka akan
memberikan rangsangan positif bagi janin, dan hal tersebut sebagai pengiriman pesan ibu
bahwa “kehadiranmu sangat kami harapkan.” Sebaliknya ibu yang tidak memperhatikan
kehamilannya, atau jarang memberikan rangsangan pada janin, hal tersebut juga bisa
memberikan isyarat komunikasi lain. Komunikasi juga akan selalu terjalin dengan saudarasaudara , teman bermain/ teman bekerja/ atau dengan orang lain yang menggunakan jasa kita.
Oleh karena itu komunikasi akan selalu kita lakukan mulai dari dalam kandungan sampai
meninggal.
Dalam kegiatan pelayanan kesehatan dan atau keperawatan, komunikasi merupakan
suatu proses untuk menciptakan hubungan antara tenaga kesehatan dengan klien atau pasien,
dokter atau perawat dengan tim kesehatan lain, dan tenaga kesehatan dengan keluarga /
masyarakat, dalam menggali data atau informasi guna mengidentifikasi masalah-masalah
klien, membuat rencana tindakan, dan mengimplementasikan serta melakukan evaluasi
tindakan-tindakan pelayanan kesehatan yang telah dilaksanakan. Hubungan saling membantu
(helping relationship) sangat diperlukan untuk memberi suport kepada klien atau pasien, oleh
karena itu keterampilan tenaga kesehatan dalam teknik-teknik komunikasi efektif dan
terapeutik sangat diperlukan
Change of Blood Pressure and Headache in People with Hypertension Using Relaxation of Handgrip and Classical Music in Dr. M. Haulussy Hospital Ambon
Get PDFThe purpose of this study IS to determine effectiveness of hangdrip relaxation and classical music in lowering
blood pressure and headache in people with hypertension. The present Non-randomized design uses quasi
experimental control group (nonrandomized control group prestest-posttest design). This research was conducted
in Dr. M. Haulussy Hospital, Ambon with research population is people with hypertension recorded in Dr. M.
Haulussy Hospital, Ambon, with 4 groups respectively, 7 respondents were experimental group of relaxation
handgrip,7 respondents were classical music group, 7 respondents were handgrip relaxation group and classical
music, and 7 respondents were control group. Sampling method was carried out by using consecutive sampling.
Blood pressure measurement instruments are calibrated mercury spigmamoteri and pain levels using numerical
rating scale (NRS). The analysis used is t test. The result indicate that 3rd day systolic rate decreaseis the highest
in relaxation handgrip group with significance value of 0.003 (<0.05), and 3 rd day diastolic day with significance
value of 0.014 (<0.05), pain level decreased on the 1st day with significance of 0.001 (<0.05)
THE CORRELATION OF ORGANIZATIONAL ROLE STRESSORS WITH STRESS LEVEL OF ICU NURSES
Get PDFIntroduction : Work stress which is often experienced by ICU nurses may affects nurse’s performance, nurse’s health and wealth so that the factors which may affect work stress such as organizational role stressors must be noticed. This study was aimed to explain the correlation between organizational role stressors and work stress level in ICU Nurses. Method : This study used cross-sectional design involved 13 respondents, taken by purposive sampling. The independent variable was organizational role stressors and the dependent variable was work stress. Data were collected by using questionnaires and analyzed using Spearman’s rho with level of significance α ≤ 0.05. Result : Results showed that there was no significant correlation between organizational role stressors and work stress level in ICU nurses with significance value p ≤ 0.139. Analysis : It can be concluded that the organizational role stressors had no correlation with work stress level because there are so many factors that may affect work stress in ICU nurses. Discussion : Role overload however was experienced by ICU nurses as a mild stressors. This indicates the importance of increasing nurse’s quality and quantity by training and recruiting new nursing staffs
THE EFFECT OF KANGAROO METHOD ON THE ADEQUACY OF ENOUGH MONTH AGED BABY AT BLEGA OLOH POLINDES AT BLEGA DISTRICT BLEGA OLOH KECAMATAN BLEGA
Get PDFIntroduction: The reducing of ASI becomes the problem for a new mother, and there are
several factors that affect the ASI production. Stimulation touch on the breast when the baby
sucking the nipple causes oxytocin to secrete ASI. The Results of the preliminary study was
conducted on 30 to 31 January 2016. It was found 23 mothers who breastfeed their babies aged
1-3 months. 10 mothers ( 44 % ) of babies got enough ASI . 13 mothers ( 56 % ) of the babies
did not get enough ASI . The aim of research to determine the effect kangaroo method of the
adequacy of breastfeeding in term of babies aged 1-3 months. Method: The design of the
research used was one group Pre -test Post - test in which independent variables was Kangoroo
and Dependent variable was Adequacy of ASI. Respondents in the capture as much as 22
Breastfeeding mothers of infants aged 1- 3 enough months. Mean of data collection using
questionnaires. The sampling technique used was Random Simple Sampling with data analysis
of Wilcoxon Test. Result: The result of preliminary research showed that before being given
the kangaroo method, the adequacy of breast milk was in the poor category as many as 19
respondents (86.3 %). And after kangaroo method was used, the adequacy of breast milk was
in a category quite as many as 13 respondents ( 72.7 % ) . After the Wilcoxon statistical test
resulted p value : 0,001 which means p value< α = 0,05 so that H0 is rejected . The result showed
that there was effect of kangaroo method of the adequacy of breastfeeding in term babies aged
1-3 months. Conclusion: Finally, it is expected to the midwives or health workers to continue
to provide education and demonstrations by using kangaroo care method, so it can help with
milk production in postpartum mothers. The well experience of breastfeeding mothers, it can
help the mothers in successful breastfeed, if they are more in contact with their babies.
Keywords: Kangaroo Method-Adequacy of Breast Feeding Enough month aged babie