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All Journal Proceeding of International Conference Health, Science And Technology (ICOHETECH) International Journal of Health and Information System (IJHIS)
Fernandes, Angelina da Costa
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Computer Science & IT Decision Sciences, Operations Research & Management Health Professions Industrial & Manufacturing Engineering Library & Information Science Medicine & Pharmacology Public Health

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Effectiveness of TeleCTG in Reducing Neonatal Morbidity and Mortality: A Clinical Evaluation Rodliya, Adzka Fahma; Mandariska, Resa Paksi; Mutiara, Mega Kurnia; Pertiwi, Mumpuni Intan; Fernandes, Angelina da Costa; Pires, Sonia da Costa
Proceeding of the International Conference Health, Science And Technology (ICOHETECH) 2025: Proceeding of the 6th International Conference Health, Science And Technology (ICOHETECH)
Publisher : LPPM Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47701/8x7m3y70

Abstract

Infant mortality remains a major public health challenge in Indonesia, with rates still exceeding the Sustainable Development Goals (SDGs) target. Digital health innovations, such as TeleCTG, have been introduced to improve accessibility and quality of maternal care by enabling remote fetal monitoring. This study aimed to evaluate the effectiveness of TeleCTG in reducing neonatal morbidity and mortality. A retrospective cohort design was conducted using secondary data from Puskesmas Pakutandang, involving 78 pregnant women at ?28 weeks of gestation or with risk factors. The exposure group consisted of 34 mothers who underwent TeleCTG examinations, while the non-exposure group included 44 mothers who received routine antenatal care without TeleCTG. Infant outcomes, including mortality and Apgar scores at 1/5/10 minutes, were analyzed using Fisher’s Exact Test and logistic regression with a 95% confidence interval. The results showed a significant association between TeleCTG use and reduced infant mortality (p=0.033; RR 1.158, 95% CI 1.030–1.302), while no significant effect was observed on Apgar scores <7 at 1/5/10 minutes (p=0.065). In conclusion, TeleCTG has the potential to lower infant mortality and support maternal health services, although further research with intrapartum monitoring is warranted to strengthen evidence of its effectiveness.
TEST OF THE EFFECTIVENESS SQUATTING POSITION IN REDUCING THE DURATION OF THE SECOND STAGE OF LABOR Farida, Siti; Sulistiyanti, Anik; Fernandes, Angelina da Costa; Xao, Maria Margaretha Xan
Proceeding of the International Conference Health, Science And Technology (ICOHETECH) 2025: Proceeding of the 6th International Conference Health, Science And Technology (ICOHETECH)
Publisher : LPPM Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47701/vh34kc33

Abstract

The second stage of labor is a crucial phase that influences maternal and neonatal outcomes. Its duration is an important indicator of whether labor progresses normally or requires intervention. Birthing position plays a role in this process. The squatting position is expected to facilitate cervical dilation and fetal head descent, thus shortening the second stage. This study aimed to determine the effect of squatting on the duration of the second stage of labor. An experimental design was conducted with two groups: 15 mothers delivering in the squatting position and 15 in the lithotomy position. Data on the duration of the second stage were collected through observation and analyzed using the t-test. Results showed a significant difference between groups (p = 0.000 < 0.05). Mothers in the squatting position experienced a shorter second stage compared to those in the lithotomy position. The squatting position was proven to enhance contractions, improve the mechanism of labor, and facilitate optimal opening of the birth canal. It can be considered a safe and effective alternative birthing position to accelerate delivery, provided there is adequate education and professional supervision.
Optimization of Health Workers in The Implementation of Provider Initiated HIV Testing and Counseling (PITC) Hikmah, Faiqatul; Fernandes, Angelina da Costa; Karimah, Rinda Nurul; Suandana, Iwan Abdi; Susindra, Yoswenita
International Journal of Health and Information System Vol. 2 No. 1 (2024): May
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/ijhis.v2i1.40

Abstract

Background: Provider Initiated HIV Testing and Counseling (PITC) is a service offering HIV testing by health workers to all patients in health facilities1. The quality of PITC services that do not meet standards is still a problem, thus becoming an obstacle to PITC services. This causes PITC user satisfaction to be low. The aim of this research is to determine efforts to optimize health workers in the implementation of provider-initiated HIV testing and counseling (PITC). This systematic research was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) method to assess, review and synthesize research. Search through the database by entering the keywords "HIV", "HIV test", "Provider initiated HIV testing and counseling" "PITC", on PubMed, Science Direct, ProQuest. 9 research journals were selected after going through specified stages. Barriers for health workers are high workload, lack of human resources and not all health workers are trained in PITC. Optimizing PITC services in health care settings cannot stand alone, health services that are integrated with other health services require the ability of health workers to be able to offer HIV tests to patients. Optimizing human resources in the health sector can be done by increasing the ability of health workers to carry out PITC through good education and training. The complete implementation of PITC starting from the pretest and posttest will emphasize changes in patient behavior to improve their health status.
Co-Authors Anik Sulistiyanti Hikmah, Faiqatul Mandariska, Resa Paksi Mutiara, Mega Kurnia Pertiwi, Mumpuni Intan Pires, Sonia da Costa Rinda Nurul Karimah, Rinda Nurul Siti Farida Suandana, Iwan Abdi Susindra, Yoswenita Xao, Maria Margaretha Xan