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Interventions to improve vaccination coverage of children in hard-to-reach population: A systematic review Cyntia Puspa Pitaloka; Samsriyaningsih Handayani
International Journal of Public Health Science (IJPHS) Vol 10, No 3: September 2021
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v10i3.20875

Abstract

In the last decade, vaccination has reduced a quarter of child deaths worldwide. Vaccination coverage increased, but the coverage remains low in the hard-to-reach population. We searched articles from Pubmed MEDLINE, SCOPUS, Web of Science, and Science Direct to systematically review interventions to improve children's vaccination coverage in hard-to-reach populations. The expected outcome was vaccination coverage, which mentioned Odds Ratio, mean difference, or difference-in-difference with a 95% CI or p-value. Out of 102 articles identified, five articles from four different countries met the inclusion criteria. Four of the five studies reported a positive impact in increasing vaccination coverage. Interventions that showed good effectiveness in increasing the coverage of childhood immunizations were the application of mHealth given to vaccinators, multiple interventions involving the community, modification of immunization schedules during outreach activities, and immunization screening cards. Despite the inconsistent finding, mHealth with SMS reminders was the most effective intervention to increase vaccination coverage and relatively low-cost. More research was needed in developing a strategic intervention to increase vaccination coverage of children in hard-to-reach populations.
Analysis of the Impact of Electric Vehicle Technology on Reducing Greenhouse Gas Emissions Rumiki, Exel; Axel, Jovan; Pitaloka, Cyntia Puspa
ASTONJADRO Vol. 13 No. 3 (2024): ASTONJADRO
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/astonjadro.v13i3.15533

Abstract

One of the causes of increasing temperatures throughout the earth is the environmental impact resulting from exhaust from vehicles. This exploration is expected to determine the impact of the seeding system caused by mechanical vehicles. This exploration was carried out using written survey research techniques as clarification that could increase public information regarding the impact system of motor vehicle seeding. The seeding impact is the retention and removal of radiant energy from electromagnetic waves by gasses in the climate. The impact of seeding can prevent energy from sunlight from being reflected outside the earth. The impact of seeding can occur due to exhaust gasses, one of which is produced by motorized vehicles. Increased use of motorized vehicles can cause a rapid increase in smoke emissions. Because every motorized vehicle will emit smoke or ignition gas from the motorbike's combustion chamber. Vehicle engine exhaust emissions do not depend on how new or how old the vehicle is, but very much depend on the quality and maintenance of the vehicle engine. The rapid number of motorized vehicles is a consequence of the needs and demands of human existence. The outflow of motorized vehicles is also a major source of environmental pollution because they contain air pollution which is not good for human health.
Anxiety in Pregnant Women During the Covid-19 Pandemic: A Systematic Review with Meta-Analysis Pitaloka, Cyntia Puspa; Tjokroprawiro, Brahmana Askandar; Sulistyowati, Muji
Indonesian Journal of Obstetrics and Gynecology Volume 12 No. 4 October 2024
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v12i4.2057

Abstract

Objective : This study systematically reviewed and meta-analysis the prevalence and factors associated with anxiety in pregnant women during the pandemic. Methods : We searched PubMed MEDLINE, Web of Science, Scopus, ProQuest, EBSCO, Science Direct, and Garuda journal databases in July 2021 and updated them in October 2021. All English and Bahasa journal articles from December 2019 were included in the search. We included studies that investigate factors affecting anxiety exclusively in pregnant women. The primary outcome was the prevalence ratio. The secondary outcome was the risk and protective factors as the independent variable. Joanna Briggs Institute Critical Appraisal Tools and RevMan 5.4 were used to do the analysis. Results: After screening 2082 articles, we included 21 studies with 42.177 pregnant women. The pooled prevalence of anxiety was estimated at 28% (95% CI, 23-33.3). We found that 12 of the 21 studies contributed to 8 risks and 1 protective factor significantly in the meta-analysis. Not married/divorced/widowed, monthly income < 780 USD, screen time > 3 hours/day, history of exposure to COVID-19, complications in the current pregnancy, sleep less than 7 hours per day, subjective poor sleep quality, and high perception of vulnerability were risk factors. Meanwhile, the protective factor was trust in the government's official media. Conclusion : There is a significant increase in the prevalence of maternal anxiety during the pandemic. Mental health screening during the antenatal visit must be carried out, and interventions to lower the anxiety level must be planned to prevent further harm. Keywords: pregnancy, anxiety, mental health, COVID-19, pandemics Tujuan: Penelitian ini meninjau secara sistematis dan meta-analisis prevalensi dan faktor yang berhubungan dengan kecemasan pada ibu hamil selama pandemi. Metode: Pencarian dilakukan pada database jurnal PubMed MEDLINE, Web of Science, Scopus, ProQuest, EBSCO, Science Direct, dan Garuda pada Juli 2021 dan memperbaruinya pada Oktober 2021. Semua artikel jurnal berbahasa Inggris dan Indonesia dari Desember 2019 dimasukkan dalam pencarian. Kami menyertakan penelitian yang menyelidiki faktor-faktor yang mempengaruhi kecemasan secara eksklusif pada wanita hamil. Hasil utama adalah prevalensi. Hasil sekunder adalah faktor risiko dan protektif sebagai variabel independen. Joanna Briggs Institute (JBI) critical appraisal guideline digunakan untuk menilai kualitas penelitian yang disertakan. RevMan 5.4 dan Jamovi 2.0 digunakan untuk melakukan analisis kuantitatif Hasil : Setelah menyaring 2082 artikel, kami menyertakan 21 penelitian dengan 42.177 wanita hamil. Prevalensi kecemasan yang terkumpul diperkirakan sebesar 28% (95% CI, 23-33,3). Kami menemukan bahwa 12 dari 21 studi berkontribusi terhadap 8 risiko dan 1 faktor pelindung secara signifikan dalam meta-analisis. Faktor risiko yaitu kondisi tidak menikah/bercerai/janda, pendapatan bulanan < 780 USD, waktu layar > 3 jam/hari, riwayat paparan COVID-19, komplikasi pada kehamilan saat ini, tidur kurang dari 7 jam per hari, kualitas tidur subyektif buruk, dan tingginya persepsi kerentanan. Sedangkan faktor protektif adalah kepercayaan terhadap media resmi pemerintah. Kesimpulan : Terdapat peningkatan prevalensi kecemasan ibu yang signifikan selama pandemi. Skrining kesehatan mental selama kunjungan antenatal harus dilakukan, dan intervensi untuk menurunkan tingkat kecemasan harus direncanakan untuk mencegah bahaya lebih lanjut. Kata kunci: kehamilan, kecemasan, kesehatan mental, COVID-19, pandemi