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Primary Healthcare Providers' Knowledge on the Early Detection of Biliary Atresia Prihaningtyas, Rendi Aji; Setyoboedi, Bagus; Nesa, Ni Nyoman Metriani; Masturina, Melinda; Utomo, Martono Tri; Arief, Sjamsul
Folia Medica Indonesiana Vol. 60, No. 1
Publisher : Folia Medica Indonesiana

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Abstract

Highlights: 1. An evaluation is necessary to verify that the knowledge of healthcare providers is sufficient for the early detection of biliary atresia. 2. It is crucial to promote education on prolonged jaundice to ensure early detection of biliary atresia in primary health facilities, as some primary healthcare providers have insufficient knowledge on the subject. Abstract Primary healthcare providers frequently fail to recognize biliary atresia because it closely mimics physiological jaundice. Early detection plays an important role in ensuring the optimal treatment of biliary atresia. Delays in referring to biliary atresia cases remain a problem around the world. The objective of this study was to analyze the knowledge of primary healthcare providers regarding prolonged jaundice as an early sign of biliary atresia. A cross-sectional study was conducted at primary healthcare centers using a self-administered questionnaire. The data were analyzed descriptively with the assistance of IBM SPSS Statistics for Windows, version 21.0 (IBM Corp., Armonk, N.Y., USA). A total of 271 respondents participated in this study, including midwives (63.8%), nurses (24.4%), and medical doctors (8.5%). This study found that 73.8% of the respondents agreed that infants with prolonged jaundice need to undergo a serum bilirubin level assessment. However, 40.2% of the respondents believed that pale stools and dark urine in yellow infants were symptoms of physiological jaundice. Concerning the definition of prolonged jaundice, 209 (77.1%) respondents provided a response indicating more than two weeks. A total of 137 (50.6%) respondents stated that biliary atresia is a disease that must be ruled out first in cases of prolonged jaundice. Nevertheless, 86 (31.7%) and 87 (32.1%) respondents also mentioned that breastfeeding jaundice and breast milk jaundice must be considered as potential causes to be investigated. These results indicated that primary healthcare providers still had limited knowledge regarding cholestasis. Education on prolonged jaundice in primary healthcare centers should be more improved to enhance the early detection of biliary atresia.
The The Relationship Between Parental Income and the Role of Parental or Babysitter Care on the Incidence of Stunting Rahma Fadila, Zakiya Nur; Sulistiawati, Sulistiawati; Setyoboedi, Bagus
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 3 (2025): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i3.507

Abstract

Introduction: Nutrition plays a crucial role in child growth and development. In Indonesia, stunting remains a major public health problem, with a prevalence of 21.5%, influenced by maternal health, socioeconomic conditions, and caregiving practices. Objective: This study aimed to determine the relationship between parental income, parental caregiving, and babysitter caregiving with stunting among children aged 24–59 months in the working area of the Ponggok Community Health Center in 2025. Method: This study employed an observational analytic method with a retrospective case–control design and was not a case report. The population consisted of mothers with toddlers aged 24–59 months. A total of 84 respondents were selected using consecutive sampling, comprising 42 stunted toddlers (case group) and 42 non-stunted toddlers (control group). Stunting status was determined based on height-for-age z-scores (HAZ) according to WHO standards. The independent variables were family income and caregiving roles of parents and babysitters, while the dependent variable was stunting incidence. Data were collected from Maternal and Child Health (KIA) books and structured questionnaires and analyzed using univariate analysis and Chi-Square tests (p < 0.05). Result and Discussion: Parental income was not significantly associated with stunting (p > 0.05), suggesting that income alone may not directly determine child growth outcomes. Factors such as nutrition knowledge, resource allocation, access to health services, and environmental conditions may influence this relationship. Conclusion: In contrast, parental and babysitter caregiving roles showed significant associations with stunting (p < 0.05), highlighting the importance of caregiving quality.
Relationship of Parents' Economic Conditions and Parenting Patterns with Children’s Development Fadilla, Anisa Yuniar; Setyoboedi, Bagus
Placentum: Jurnal Ilmiah Kesehatan dan Aplikasinya Vol 10, No 3 (2022): Special Issue
Publisher : Program Studi Kebidanan Fakultas Kedokteran Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/placentum.v10i3.58792

Abstract

Background: Each parent has its own parenting style in parenting which is usually influenced by the background they have, both in terms of education, socio-economics, work, customs and others. The purpose of this study was to analyze the relationship between the economic conditions of parents and parenting on the development of children.Methods: This type of research is quantitative research with a correlational research design. The sample in this study was all the population that met all the inclusion and exclusion criteria with a sampling technique using Total Sampling. The independent variable of this research is child development. The dependent variable studied in this study is the economic condition of parents and the intermediate variable in this study is parenting.Results: The results of this study indicate that there are 62.52% parents with middle economic conditions, 20.83% parents with poor economic conditions and 16.65% parents with affluent economic conditions. For parenting, it was found that 58.3% of parents used democratic parenting, 25% used permissive parenting and 16.7% of parents used authoritarian parenting. In child development, it was found that 70.8% of children had normal development and 29.2% of children had impaired development. The results of the Manova test on the relationship between parents' economic conditions and parenting patterns with child development showed a p-value of 0.650.Conclusion: The data shows that there is no significant relationship between the economic conditions of parents and parenting patterns with child development.
INTERVENSI EDUKASI SINGKAT TENTANG ATRESIA BILIER PADA TENAGA KESEHATAN: BUKTI PENINGKATAN PENGETAHUAN DAN KESIAPAN SKRINING DENGAN KARTU WARNA TINJA Bagus Setyoboedi; Rendi Aji Prihaningtyas; Yovani Savitri; Martono Tri Utomo; Sjamsul Arief
Jurnal Abdi Insani Vol 12 No 12 (2025): Jurnal Abdi Insani
Publisher : Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/abdiinsani.v12i12.3114

Abstract

Biliary atresia is the most common cause of neonatal cholestasis, characterized by prolonged jaundice, pale stools, and dark-colored urine. Early detection is crucial to prevent further liver damage. However, delayed diagnosis is still frequently encountered, mainly due to the lack of healthcare providers’ knowledge in recognizing the early signs of biliary atresia. This study aimed to determine the significance of a targeted health education intervention in improving knowledge of early detection of biliary atresia among healthcare providers. A quasi-experimental study was conducted at Padangan District General Hospital, Bojonegoro, East Java, using a pre-test/post-test questionnaire design. The health intervention consisted of education on biliary atresia and the introduction of the stool color card as an early detection tool, delivered by a Pediatric gastroenterologist and hepatologist. The Wilcoxon signed-rank test was performed with a significance level of p<0.05.A total of 101 respondents participated, predominantly female (88.1%), with the largest age group being 30–39 years (37.6%). Most respondents had more than five years of work experience (81.2%). The mean knowledge score significantly increased from 86.3 in the pre-test to 93.2 in the post-test (p < 0.001). Prior to the intervention, only 12.9% of respondents scored <70, whereas after the intervention nearly all participants (98%) scored >70. Knowledge regarding early symptoms of biliary atresia, the risks of delayed diagnosis, and the use of the Stool Color Card showed meaningful improvement on early detection of biliary atresia. A health education intervention is effective in improving healthcare providers’ knowledge of early detection of biliary atresia.
SOSIALISASI DAN PENGENALAN KARTU WARNA TINJA: STRATEGI PENINGKATAN PENGETAHUAN TENAGA KESEHATAN DALAM SKRINING ATRESIA BILIER Martono Tri Utomo; Rendi Aji Prihaningtyas; Yovani Savitri; Bagus Setyoboedi; Sjamsul Arief
Jurnal Abdi Insani Vol 12 No 12 (2025): Jurnal Abdi Insani
Publisher : Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/abdiinsani.v12i12.3245

Abstract

Jaundice in newborns is a common condition, but it is important to distinguish between physiological and pathological forms. One of the main causes of pathological jaundice is cholestasis, with biliary atresia being the most frequent etiology. Biliary atresia is progressive and potentially fatal if treatment is delayed. Early detection is a key to successful therapy; however, limited knowledge among healthcare workers and inadequate screening tools contribute to delayed referrals. This study aimed to improve healthcare workers’ understanding of early detection of biliary atresia through education and introduction of stool color cards at RSUD dr. Sayidiman, Magetan. This study employed a quasi-experimental pre-test–post-test design involving 83 healthcare workers. Educational sessions were delivered by a pediatric gastrohepatology specialist, and participants completed questionnaires before (pre-test) and after (post-test) the intervention. Data were analyzed using the Wilcoxon signed-rank test to assess the improvement in knowledge scores, with statistical significance set at p < 0.05. A total of 83 participants took part, predominantly female (94%) with the largest age group being 30–39 years (43.4%). Most participants had more than 5 years of work experience (79.5%) and held a bachelor’s degree (55.4%). The mean knowledge score increased significantly from 90 in the pre-test to 95.3 in the post-test (p < 0.001). Socialization and introduction of stool color cards effectively improve healthcare workers’ knowledge regarding early detection of biliary atresia.
Co-Authors Agrasenfani Hadi Akbas, Ahmad Maulana Ifan Amilia krisdiantini Anggi Sepfana Zizilia Anindya Kusuma Winahyu Annisya Dinda Paramitha Arvelina Novia Damayanti Budiono Budiono Cindy Wahyu Agustina Eighty Mardiyan K, Eighty Enny Karyani, Enny Evi Rokhayati Fadilla, Anisa Yuniar Farahdina Farahdina Farida Triani Fathurrachman, Muhammad Rais Firyal Nadiah Rahmah Gina Noor Djalilah Gondo Mastutik Henry Wicaksono, Henry IDG Ugrasena Ilya Krisnana, Ilya Irawan, Muhammad Irwanto Irwanto Irwanto, Irwanto Jasin, Yayu Dwinita Karina Pharamita Dewi Kuntoro Kuntoro Lasmauli Situmorang Linda Dewanti Mahrus A Rahman, Mahrus A Manika Putri Kunigara Maretha Sukmawardani, Maretha Martono Tri Utomo Martono Tri Utomo Masturina, Melinda Maytasya Dwinaqifah Melantika Nur Fitria Syahri Melinda Masturina Muhammad Irawan Muhammad Nur Alpi Apriansyah Muhammad Rais Fathurrachman Mukarromah, Nur Nabilah Khansa Nastiti, Prima Hari Nesa, Ni Nyoman Metriani Ni Nyoman Metriani Nesa Ningrum, Astika Gita Nisak Luvi Mega Irawati Nur Mukarromah Octariyandra, Syania Mega Paramitha, Annisya Dinda Pratiwi, Fauziah Prihaningtyas, Rendi Aji Puspa Wardhani Qurrota Ayuni Novia Putri Rachmat Hargono Rahma Fadila, Zakiya Nur Rani Sidaryanti Rendi Aji Prihaningtyas Rendi Aji Prihaningtyas Rendi Aji Prihaningtyas Rendi Aji Prihaningtyas Reny Widayanti Samisatun Maulina, Siti Samsriyaningsih Handayani Situmorang, Lasmauli Sjamsul Arief Sjamsul Arief Sjamsul Arief Sjamsul Arief Sjamsul Arief Sjamsul Arief Sjamsul Arief Sjamsul Arief, Sjamsul Sri Umijati Sulistiawati Sulistiawati Sulistiawati Sulistiawati Syahbani, Primadita Teddy Ontoseno Tiyas Kusumaningrum Ulfa Kholili Utamayasa, I Ketut Alit Viky Nafi&#039;ah Rahma Maulidia Viky Nafi'ah Rahma Maulidia Widati Fatmaningrum Winahyu, Anindya Kusuma Woro Setia Ningtyas Yovani Savitri Yovani Savitri Zizilia, Anggi Sepfana