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Journal : health dynamics

Knowledge and Attitudes of Pregnant Women towards Bankjo Lamp Technology: Case Study of Choosing a Birth Place Naning Siswati; Sunarto Sunarto; Astuti Setiyani; Nurwening Tyas Wisnu
Health Dynamics Vol 1, No 8 (2024): August 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd10804

Abstract

Background: A high-risk pregnancy jeopardizes both maternal and fetal lives. Despite recommendations for hospital births, six out of ten high-risk expectant mothers in Kawedanan opt for PMB or Community Health Center Maternity. To identify high-risk pregnancies, Kawedanan Community Health Center employs the innovative Bankjo lamp. This study investigates how pregnant women's attitudes and knowledge about Bankjo lamps influence their maternity location choice. Methods: This type of research uses quantitative descriptive research. This observational analytical research involved 57 expectant mothers due to maternity in January, February, or March. Using a cross-sectional design, the study treated knowledge and attitudes about Bankjo lamps as independent variables, with maternity location preference as the dependent variable. Data collection methods included knowledge and attitude questionnaires and monthly midwife reports. The data was analyzed using the Chi-Square test and descriptive statistics in the form of frequency distribution with presentation. Results: Findings indicate that pregnant women generally possess adequate knowledge about suitable maternity locations, with some showing insufficient understanding. A significant correlation (p = 0.013) exists between knowledge levels and preferred birthplace. Despite the preference for hospital births among nearly all expectant mothers, a majority hold negative attitudes, strongly correlated (p = 0.000) with their birthplace choices. Interestingly, while most pregnant women understand the Bankjo lamp innovation well, they harbor negative attitudes toward it. Nevertheless, almost all opt for hospital births, prioritizing medical safety despite reservations about new technologies. Conclusions: The study underscores the need for government support in advancing maternal health initiatives, including innovative technologies like Bankjo lamps. Enhancing awareness and promoting positive attitudes among expectant mothers can foster safer childbirth practices. By disseminating knowledge and addressing misconceptions, healthcare providers can better support high-risk pregnancies, ensuring better outcomes for both mothers and babies.
Evaluating the Impact of Nabila Cantika’s Innovation on Reducing Stunting in the Kawedanan Community Health Center, Magetan, Indonesia Mastuti Handayani; Astuti Setiyani; Sunarto Sunarto; Nurwening Tyas Wisnu
Health Dynamics Vol 1, No 9 (2024): September 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd10904

Abstract

Background: Nabila Cantika is an innovation to overcome the problem of stunting. This innovation is in the form of toddler class training involving grandmothers. The training was conducted twice, each lasting 120 minutes. The novelty of the study lies in the involvement of grandmothers in the Toddler class. The purpose of the study was to evaluate the effectiveness of the Nabila Cantika innovation in reducing stunting rates. Methods: This study was descriptive and was conducted at the Kawedanan Health Center, Magetan, Indonesia, from February to May 2024. The study population consisted of 90 stunted toddlers cared for by their grandmothers. Samples were taken from the entire population that met the inclusion criteria. The independent variable was grandmothers who attended the Toddler class. Data collection used observation sheets and secondary data in the form of reports from nutrition officers. Data analysis was carried out descriptively, and the effectiveness of this innovation was tested using the McNemar test. Results: The results showed that the effectiveness of the Nabila Cantika program varied in each village. Before the innovation was implemented, 71 toddlers (78.9%) were classified as short, and 19 toddlers (21.1%) were classified as very short. After the innovation was implemented, out of 71 toddlers who were classified as short, 48 toddlers (67.6%) increased to the normal category, while 23 toddlers (32.4%) were still classified as short. Out of 19 toddlers who were classified as very short, 8 toddlers (42.2%) remained in that category, while 10 toddlers (57.8%) increased to the short category. This program has proven effective in reducing stunting rates with a significance value of 0.000. Conclusion: Nabila Cantika's innovation has proven very effective in reducing stunting rates in the Kawedanan Health Center area. This program needs to be continued and monitored until it reaches the target of zero stunting.
Effectiveness of the NETES (Niat Engsun Tuntas cEgah Stunting/My Intention to Prevent Stunting Completely) Program to Prevent Stunting Tutiek Herlina; Nurweningtyas Wisnu; Dian Maheru Robbi; Yuanita Sinar Yuliati; Rahma Anindita
Health Dynamics Vol 1, No 12 (2024): December 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd11202

Abstract

Background: Stunting was described as a toddler whose height was lower than the standard height for children of the same age, which was a characteristic that indicates repeated and long-term nutritional problems. The negative impact in the long term was decreased cognitive ability and learning achievement, body immunity, and a high risk of diabetes, obesity, heart and blood vessel disease, cancer, stroke, and disability in old age. The prevalence of stunting in Plaosan Subdistrict increased from 2021 by 7.54%, in 2022 by 7.91% and in 2023 by 8.52%. The "NETES" (Niat Engsun Tuntas cEgah Stunting/My Intention to Prevent Stunting Completely) program was one of the stunting management programs in Plaosan Subdistrict, implemented by giving one egg every day for 90 days to children under five at risk of stunting. This research aims to determine effectiveness of the NETES program to prevent stunting. Methods: Research design was ex post facto. The population were all children under five years old who were at risk of stunting, sample size 90 taken by total population. The independent variable was the NETES program and the dependent variable was stunting. The instruments used Endo brand stadiometer and Endo brand infantometer, observation sheets for egg feeding and body height. Analysis by the Wilcoxon Signed Rank test. Results: The results showed median HAZ value before the NETES program was –2.3 and after the NETES program was -1.8.  Z value = 3.8541 and p value = 0.0001162 so it can be concluded that there is a difference HAZ value between before and after the implementation of the NETES program. Conclusions: Giving one egg a day for 90 days is effective to prevent stunting. It is recommended that the implementation of the NETES program can be continued and be applied in other areas.