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All Journal Journal of Maternal and Child Health Berita Kedokteran Masyarakat
Hanifa, Yumna Nur Millati
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Medicine & Pharmacology Nursing Public Health

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Prenatal, Perinatal, and Other Risk Factors of Attention-Deficit Hyperactivity Disorder in Soerojo Hospital Sutanto, Doddy BL; Sevriana, Ery Surya; Pangestuti, Rayi Citra Ayu; Hanifa, Yumna Nur Millati; Bangun, Susi Rutmalem
Journal of Maternal and Child Health Vol. 8 No. 3 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2023.08.03.08

Abstract

Background: Long-term negative effects on academic ability and social activities can persist into adulthood in children with neurodevelopmental disorders characterized by inattention, hype­r­activity, and impulsivity (Attention Deficit Hyperactivity Disorder/ ADHD). Genetic, neurotrans­mitter, neurological, environmental, psychosocial, brain trauma, and addictive factors are some of the predisposing factors for ADHD. But theoretically, maternal risk factors  often contribute to neuropsychiatric disorders, because of their potential influence on child brain development. This study aimed to assess the proportion of maternal risk factors consisting of prenatal, perinatal, and other factors of ADHD in Soerojo Hospital. Subjects and Method: A descriptive-analytic study with a retrospective approach was conducted on April-June 2022 at Soerojo Hospital. A total of 90 subjects pediatric patients diagnosed with ADHD selected by purposive sampling. The data were collected using questionnaires. The data were described in frequency (n) and percent (%). Results: The proportion of prenatal risk factors are mother’s age at pregnancy (19%), maternal disease history (8%), hormonal contraception pre-pregnancy (24%), maternal psychopathology (34%), maternal excess weight (49%); the proportion of perinatal risk factors are premature birth (12%), operative abdominal and vaginal delivery (49%), low birth weight (13%), neonatal emer­gencies (34%); while other factors are hereditary factors (13%), exposure to cigarettes (47%), and marital conditions (23%). Conclusion: The most common maternal risk factors were maternal excess weight, operative abdominal and vaginal delivery, exposure to cigarettes, maternal psychopathology, and neonatal emergencies. Keywords: ADHD, maternal risk factor, prenatal, perinatal. Correspondence: Doddy Sutanto, Department of Obstetric and Gynecology, Soerojo Hospital, Magelang, Indonesia, Jl. Ahmad Yani No. 169, Magelang 56115, Central Java. Email: doddysutanto.soerojo­hospital@­gmail.­com.
Strengthening the Capacity of Border Health Centers for National Health Resilience Hanifa, Yumna Nur Millati
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
Publisher : Universitas Gadjah Mada

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Purpose: Community health centers in border areas have a crucial role in preserving public health and preventing the transmission of infectious diseases considering that border areas are place of high mobility for entry and departure ports. Community health centers may ensure national health security and improve public confidence in healthcare by detecting outbreaks early and effectively preventing outbreaks at borders. This concept aims to improve national health resilience by strengthening the capabilities of health centers on the border. Content: Using a contingency theory approach, capacity strengthening is carried out by adapting strategies based on the specific conditions for each border health center. This concept includes increasing human resources through training, procurement of advanced medical equipment and facilities, development of integrated health information and management systems, and increasing cross-sectoral cooperation. Analysis of health data, tracking of disease cases, and community satisfaction surveys on border health center services are used in the evaluation process. Limited infrastructure and human resources will be a challenge, but support from the government, cross-sectoral cooperation, and health worker training will be the significant enablers or facilitators. However, this may impact communities by reducing health risks, increasing national health resilience, and improving trust in healthcare systems. Therefore, strengthening the capacity of border health centers is an intelligent strategy to protect public health and minimize the financial impact of disease outbreaks.
Co-Authors Bangun, Susi Rutmalem Dhamanti, Inge Pangestuti, Rayi Citra Ayu Sevriana, Ery Surya Sutanto, Doddy BL