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All Journal Proceeding of International Conference Health, Science And Technology (ICOHETECH) International Journal of Health and Information System (IJHIS) Proceeding Mulawarman International Conference on Tropical Public Health
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.
Digital Family Empowerment through SIMAMIK to Enhance FamilySupport and Maternal Happiness in Disaster-Prone Areas Kartiningrum, Eka Diah; Ginka, Mochammad Ivan Abdillah Putra; Syurandhari, Dwi Helynarti; Dewi, Fany Rosita; Diana, Sulis; Suhartanti, Ika; Fernandes, Angelina da Costa; beastbeast, Thabita; Abdurrahman, Adam
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background : Maternal health in disaster-prone areas is crucial and requires support. The development of digital information systems for maternal health monitoring has been extensively pursued. However, those focused on maternal companions as primary supporters have been limited, particularly in disaster-prone areas. Therefore, it is deemed urgent to develop a digital program to empower families of pregnant and postpartum women through SIMAMIK Objective : This study aims to examine the influence of the SIMAMIK application by maternal companions on the family support felt by mothers, and the happiness of mothers during pregnancy and postpartum in disaster-prone areas Research Methods/ Implementation Methods : The research design used was a time series study, involving a population of all companions of pregnant and postpartum mothers and their companions located within the disaster zone of Mojokerto Regency, with a total population of 16,707. The companions used could be husbands or close family members who accompany the mothers daily. A sample of 108 people was taken using a cluster random sampling system. Data on family support, and maternal well-being were collected through observation and interviews using a questionnaire. The data were then analyzed using Generalized Estimating Equations (GEE) and Generalized Linear Mixed Model (GLMM). Results : The study’s results showed a significant change in family support following the use of SIMAMIK (p-value = 0.001). In the status of maternal happiness, there was a significant difference (p-value = 0.003). SIMAMIK proved to be the most influential in terms of family support. Conclusion/Lesson Learned : SIMAMIK is effective in increasing family attention to pregnant women, providing more regular health reports, and thus making mothers happier. Organized use of SIMAMIK should be a top priority for health facilitators to support maternal health and screen for pregnancy and postpartum complications, which can prevent maternal death
Co-Authors Abdurrahman, Adam Anik Sulistiyanti beastbeast, Thabita Dewi, Fany Rosita Diana, Sulis Dwi Helynarti Syurandhari, Dwi Helynarti Eka Diah Kartiningrum Ginka, Mochammad Ivan Abdillah Putra Hikmah, Faiqatul Ika Suhartanti, Ika 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