Ova Emilia
Department Of Obstetrics And Gynecology, Faculty Of Medicine, Public Health And Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia

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Feasibility of HPV vaccination program implementation: A qualitative study Wiwin Lismidiati; Vivian Nanny Lia Dewi; Widyawati Widyawati; Wenny Artanty Nisman; Anis Widyasari; Ika Parmawati; Ova Emilia
Journal of Community Empowerment for Health Vol 5, No 1 (2022)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.69099

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The implementation of the Human Papillomavirus (HPV) vaccination program is still experiencing obstacles in several developing countries. This setback is related to the lack of knowledge and the high cost of the vaccine so that it affects people's behavior about the HPV vaccine. HPV vaccination in adolescents itself as primary prevention has not been widely conducted by adolescents in Indonesia. The results of previous studies showed that not many teenagers had vaccinated against HPV by using self-financing guarantees such as health savings. The obstacles faced in implementing HPV vaccination are that the vaccine is still expensive and there is lack of knowledge of parents and adolescents about the importance of HPV immunization. This formative research using qualitative methods was conducted to analyze the implementation plan of the HPV vaccination program. Data were collected through focus group discussions (FGD) and in-depth interviews. At the end of each FGD activity or interview, transcription and thematic analysis based on content were done. The FGD participants were ten teachers, while the in-depth interview participants were one school committee. This study found two main themes, namely the scheme of implementing the HPV vaccination program and obstacles to the implementation of HPV vaccination. Schools generally supported the program implementation. However, parents still question the importance of the HPV vaccination for their daughters and consider the vaccine costs expensive. Implementation of the HPV vaccination program must consider the existing program schemes in schools and possible obstacles. The results suggested that for the next HPV vaccination program, the facilitators should provide intense and relevant education to parents about the importance and side effects of HPV immunization, and are expected to build a willingness of parents to vaccinate their daughters and seek vaccination costs, one of which can be through a savings program.
PENDIDIKAN/PEKERJAAN MATERNAL DAN FAKTOR RISIKO PREEKLAMPSIA: STUDI EPIDEMIOLOGI DI KOTA TERNATE Lilie Fransiska; Edi Patmini; Abdul Wahab; Ova Emilia
JURNAL KESEHATAN REPRODUKSI Vol 1, No 3 (2014)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (580.717 KB) | DOI: 10.22146/jkr.5748

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PENDIDIKAN/PEKERJAAN MATERNAL DAN FAKTOR RISIKO PREEKLAMPSIA: STUDI EPIDEMIOLOGI DI KOTA TERNATELilie Fransiska1, Edi Patmini2, Abdul Wahab3, Ova Emilia4 ABSTRACTBackground: Preeclampsia is one of leading cause of maternals and infants morbidity and mortality that can be prevented by an early detection in pregnant woman who have risk factors to preeclampsia. Early detection and management have a significant role in decreasing maternal and infant mortality rate.Objective: To determine the proportion of pregnancy with risk to preeclampsia and related risk factors. Method: This research is an observational study with cross sectional design. The independent variables are level of maternal education, and occupation. The dependent variable is increased risk of preeclampsia during pregnancy. Data collected by direct interview, physical examination and laboratory examination. Data analysis was done with SPSS programme.Results and Discussion: The result showed that there was no significant difference in maternal educational level with the risk of preeclampsia (p= 0,919), and there is no significant difference between maternal working status with risk of preeclampsia (p= 0,435).Conclusions: This research showed that maternal level of education and working status didn’t have a significant influence to the risk of preeclampsia (p> 0,05).Keywords : maternal occupation, level of maternal education, risk of preeclampsia ABSTRAKLatar Belakang: Preeklampsia merupakan salah satu penyebab morbiditas dan mortalitas pada ibu dan bayi yang dapat dicegah dengan melakukan deteksi dini pada ibu hamil yang memiliki risiko terhadap terjadinya preeklampsia. Tujuan: Penelitian ini bertujuan untuk menentukan proporsi ibu hamil dengan risiko preeklampsia di Kota Ternate dan faktor-faktor risiko yang terkait. Hasil penelitian ini diharapkan supaya dapat digunakan untuk meningkatkan kesehatan ibu dan anak di Kota Ternate. Metode: Penelitian ini merupakan penelitian observasional dengan menggunakan desain studi potong lintang. Variabel bebas adalah tingkat pendidikan dan jenis pekerjaan ibu. Variabel terikat adalah peningkatan risiko terjadinya preeklampsia selama kehamilan. Data dikumpulkan dengan melakukan wawancara langsung, pemeriksaan fisik, dan pemeriksaan laboratorium. Selanjutnya analisis deskriptif pada data penelitian dilakukan dengan menggunakan program SPSS.Hasil dan Pembahasan: Hasil analisis menunjukkan bahwa tidak ada perbedaan bermakna antara kelompok berpendidikan tinggi dan kelompok berpendidikan rendah (p= 0,919), serta antara kelompok bekerja dan tidak bekerja (p= 0,435).Kesimpulan: Faktor pendidikan dan pekerjaan maternal tidak memiliki pengaruh yang bermakna terhadap risiko terjadinya preeklampsia (p> 0,05).Kata kunci : pekerjaan ibu, pendidikan ibu, risiko preeklampsia 1 Mahasiswa S1 Fakultas Kedokteran UGM, Yogyakarta2 Bagian Obstetri dan Ginekologi Fakultas Kedokteran UGM3 Bagian Ilmu Kesehatan Masyarakat UGM, Yogyakarta4 Bagian Obstetri dan Ginekologi Fakultas Kedokteran UGM
Hubungan Kepatuhan Tim Bedah dalam Penerapan Surgery Safety Checklist dengan Infeksi Luka Operasi dan Lama Rawat Inap pada Pasien Seksio Sesarea di Rumah Sakit Umum Daerah Kabupaten Barru Amiruddin Amiruddin; Ova Emilia; Shinta Prawitasari; Leo Prawirodihardjo
JURNAL KESEHATAN REPRODUKSI Vol 5, No 3 (2018)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (427.045 KB) | DOI: 10.22146/jkr.39666

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Background: Surgical Patient Safety is essential to be carried out in operating theatre to prevent mortality and surgical complication. Patient safety is the basic principal in medical care and a major component of medical care management in hospital (WHO, 2009).Objective: To investigate association between SSC implementation among surgical team, surgical site infection and duration of hospital stay.Method: This is an analytical cross sectional study. Population of this study was women who underwent cesarean section with live birth in Barru general hospital during 1 December 2016-30 April 2017. This study was carried out in Barru general hospital, 137 samples met inclusion and exclusion criteria. Data was obtained from medical records. Maternal outcome were duration of hospital stay, surgical site infection, and maternal mortality. Besides, this study also assesed knowledge and compliance of surgical team in implementation of SSC. The result of this study was analysed with computer statisctics analysis program.Result adn Discussion: One-hundred thirty seven patients met study criteria. Compliance of surgery team in SSC was 64%,. SSC was not implemented precisely in 36% patients (49 patients). There is no significant association between surgical team compliance with surgical site infection in cesarean section patients (p=0.078). A significant association was found between surgical team compliance with duration of hospital stay (p=0.006).Conclusion: The surgical team compliance in implementation of SSC was not yet optimal. An intensive socialization is needed to improve compliance of team in order that SSC implementation run promptly. This was part of efforts to reduce post operative complication and shorten hospital stay.Keywords: SSC, cesarean section, compliance, infection, duration of hospital stay
PENGARUH IBU HAMIL PEROKOK PASIF TERHADAP KEJADIAN LAHIR MATI DI KOTA AMBON Magdalena Paunno; Ova Emilia; Abdul Wahab
JURNAL KESEHATAN REPRODUKSI Vol 2, No 3 (2015)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (340.804 KB) | DOI: 10.22146/jkr.12647

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PENGARUH IBU HAMIL PEROKOK PASIF TERHADAPKEJADIAN LAHIR MATI DI KOTA AMBONMagdalena Paunno1, Ova Emillia2, Abdul Wahab3ABSTRACTBackground: Intervention in the care for pregnant women can reduce antenatal mortality until 75%.Antenatal Care (ANC) in Ambon municipality is categorized good if compared from the mean rate ofnational level, that is, Visit 1 (89%) and Visit 4 (87.76%); however, the incidence of stillbirths in Ambonis still considered high. Data about the incidence of stillbirths in three hospitals of Ambon showed thatthere were 44.2 stillbirths per 1000 live births while national data in 2003 showed that there were only9.6 stillbirths per 1000 live births. The direct cause of stillbirth is hypoxia, that is, the lack of oxygenin a pregnant woman’s body due to the exposure of cigarette smoke. In Ambon municipality, 65% ofhouseholds have 1 active smoker and almost all of the smokers (90%) smoke inside the house. This rateof course exceeds the national rate. In addition, other factors causing stillbirth are the quality of antenatalcare, age, parity, anemia and women’s educational level.Objective: To study whether passive smoking during pregnancy is a risk factor of the incidence of stillbirths.Method: This was an observational study with case-control study design. Study sites were in three hospitalsof Ambon municipality, namely Dr. M. Haulussy District Hospital, Al-Fatah Hospital, and Sumber HidupHospital. Subjects were divided into two groups which were case and control with comparison of 1:1 (69stillbirths as case and 69 live births as control) from January to December 2007. Samples were taken usingnon probability sampling which was determined with quota sample. The analysis of quantitative dataused univariable analysis, bivariable analysis with chi-square test (χ²) and stratification, and multivariableanalysis with logistic regression.Result and Discussion: There was a significant relationship between passive smoking during pregnancyand the incidence of stillbirth based on bivariable analysis with OR=3.36 (95% CI=1.20-5.41) while basedon multivariable analysis with OR=2.8 (1.01-7.94). Other risk factors that affected the incidence of stillbirthwere the quality of antenatal care with OR=3.2 (95% CI=1.39-7.52) and anemia during pregnancy withOR=2.3 (95% CI=1.20-5.41). Meanwhile, stratification analysis showed that non anemic women duringpregnancy was significantly related to stillbirths with OR=5.7 (95% CI 1.10-55.22). However, age, parity andeducation were not the risk factors of the incidence of stillbirth in Ambon.Conclusion: Passive smoking during pregnancy was a risk factor of the incidence of stillbirth in Ambonmunicipality. Other factors that caused the incidence of stillbirths were the quality of antenatal care andanemia. However, age, and parity were not the risk factors of the incidence of stillbirths in Ambon.Keywords: pregnant woman, passive smoking, stillbirthINTISARILatar belakang: Intervensi pada perawatan ibu hamil dapat menurunkan kematian perinatal hingga 75%.ANC di Kota Ambon dikategorikan baik, bila dilihat angka rata-rata secara nasional yaitu K1 89%, K4 87,76%namun, kejadian lahir mati sangat tinggi dibanding angka nasional. Salah satu penyebab langsung lahirmati adalah hypokxia yaitu kekurangan oksigen dalam tubuh ibu, akibat dari ibu hamil terpapar asaprokok. Di Kota Ambon, 65% rumah tangga mempunyai 1 orang perokok, dan hampir semua perokok (90%)merokok di rumah. Angka ini lebih tinggi dari angka nasional. Faktor lain menyebabkan lahir mati adalahkualitas antenatal care, umur, paritas anemia ibu selama hamil, pendidikan ibu yang rendah.Tujuan: Penelitian ini untuk mengetahui apakah ibu hamil perokok pasif merupakan faktor risiko kejadianlahir mati.Metode: Penelitian observasional dengan rancangan kasus-kontrol. Lokasi penelitian pada 3 RS di KotaAmbon yaitu: RSUD dr. M. Haulussy, RS. Al-Fatah, RS. Sumber Hidup. Subjek penelitian 1:1 69 lahir mati(kasus) dan 69 lahir hidup (kontrol) pada bulan Januari sampai dengan bulan Desember 2007. Pengambilansampel dengan cara non probability sampling, ditentukan secara quota sample . Analisis data terdiridari analisis univariabel, analisis bivariabel menggunakan uji chi-square (χ²), stratifikasi serta analisismultivariabel menggunakan regresi logistik.Hasil dan Pembahasan: Ada hubungan yang bermakna antara ibu hamil perokok pasif dengan kejadianlahir mati. Analisis bivariabel OR=3,36 (95% CI=1,20-5,41) analisis multivariabel OR=2,8 (1,01-7,94). Faktorrisiko lain yang mempengaruhi kejadian lahir mati adalah: Kualitas antenatal care mempunyai nilai OR=3,2(95% CI=1,39-7,52), ibu hamil anemia OR=2,3 (95% CI=1,20-5,41) dan pendidikan OR=2,42 ( 1,15-5,10).Saat analisis strativikasi, ibu tidak anemia mempunyai hubungan bermakna dengan lahir mati OR=5,7 (95%CI 1,10-55,22). Umur, paritas dan pendidikan bukan merupakan faktor risiko lahir mati di Kota Ambon.Kesimpulan : Ibu hamil perokok pasif merupakan faktor risiko terhadap kejadian lahir mati di Kota Ambon.Faktor lain yang menyebabkan lahir mati adalah kualitas antenatal care dan anemia ibu hamil.Kata kunci: ibu hamil, perokok pasif, lahir mati.1 Air Selobar Community Health Center, Ambon Health Office, Maluku Province2 Obstetric and Gynecology Division, Faculty of Medicine,Gadjah Mada University, Yogyakarta3 Maternal and Child Health-Reproductive Health, Graduate Program,Faculty of Medicine, Gadjah Mada University, Yogyakarta
Prevalence of urinary incontinence and its association with the body mass index (BMI) among pregnant women in Ternate Island Adi Ariffianto; Ova Emilia; Edi Patmini Siswanti; Abdul Wahab
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 50, No 4 (2018)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (349.18 KB) | DOI: 10.19106/JMedScie/005004201811

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Urinary incontinence, a condition where a patient cannot withhold urinating, can cause health, social and psychological problems. This condition is not life threatening but can affect their quality of life due to the difficulties of treatment in the psychological and social problems. Even though this disorder is common in pregnancy, the exact cause is still unknown. Many researchers assert that urinary incontinence is due to multifactorial causes. This study aimed to determine the prevalence of urinary incontinence in pregnant women and its relationship with body mass index (BMI). A cross sectional study involving 224 pregnant women in the primary health centers on Ternate Island was conducted using the Questionnaire for Urinary Incontinence Diagnosis (QUID). Respondents with a history of urinary incontinence without pregnancy or positive urinary tract infection diagnosis were excluded from this study. Data were gathered through interviews and physical examinations. The total prevalence of urinary incontinence was 28.6%. Urge incontinence (39.0%) was the most common type followed by mixed (37.5%) and the least common was stress incontinence (23.4%). There was a significantly association between urinary incontinence and maternal BMI (p=0.045). Urinary incontinence occured as much as 2.167 (95% CI: 1.008 - 4.656) times greater in pregnant women with obesity than those who had an ideal BMI. In conclusion, urge incontinence is the most common type of urinary incontinence. There is a significant correlation between urinary incontinence and the BMI of pregnant women, especially in obese women.
Akseptabilitas dan Pemanfaatan Pusat Informasi dan Konsultasi Kesehatan Reproduksi Remaja pada Siswa Sekolah Menengah Umum Arie Afrima Djauhar Ismail Ova Emilia
Berita Kedokteran Masyarakat (BKM) Vol 27, No 3 (2011)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (208.678 KB) | DOI: 10.22146/bkm.3404

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Background: Adolescent period is a transition period from childhood to adulthood. One sixth of people on earth are adolescents and 85% of them live in developing countries. Adolescents often encounter risks of reproductive health so that reproductive health service becomes necessary for adolescents. School is a center of the dissemination of reproductive health information. The problem is that PIK-KRR in schools is underutilized. Factors causing underutilization are access to service, needs of adolescents, and acceptability of students to PIK-KRR.Objectives: To study the relationship between acceptability to PIK-KRR and utilization to PIK-KRR in schools by senior high school students at Bima Municipality Nusa Tenggara Barat.Method: The study used cross sectional with quantitative as well as qualitative approaches. Subjects were 312 high school students. Data were obtained through questionnaire and in-depth interview and analyzed using univariate, bivariate with chi-square and multivariate with logistic regression.Result: The result of bivariate analysis showed there was significant association between utilization and acceptability, need and attitude toward reproductive health (p<0.05). The result of multivariate analysis showed there was significant association between the utilization and acceptability (RP=1.5; CI95%=1.21-1.91). There was significant association between the utilization and acceptability after the control of variable of need (RP=1.4; CI95%=1.18-1.85) and with the control of variable of attitude consistently there was significant association between the utilization and acceptability (RP=1.4; CI95%=1.11-1.95). This mean that students accepting PIK-KRR had positive attitude toward reproductive health than those not accepting PIK-KRR.Conclusion: The utilization of PIK-KRR in school was associated with acceptability, need and attitude toward reproductive health.Keywords: acceptability, reproductive health, utilization, adolescents
Hubungan Pengetahuan Tentang HIV/AIDS dengan Stigma Orang dengan HIV/AIDS di Kalangan Pelajar SMA Ossie Sosodoro, Ova Emilia, Budi Wahyuni
Berita Kedokteran Masyarakat (BKM) Vol 25, No 4 (2009)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (166.455 KB) | DOI: 10.22146/bkm.3556

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Background: Stigma of people living with HIV/AIDS is an aspect which disrupts the program of HIV/AIDS infection prevention. Some studies show that the widespread of stigma of people living with HIV/AIDS is related to knowledge about methods of HIV/AIDS infection. One most effective method to improve knowledge about HIV/ AIDS is education at schools. This study is carried out at Surakarta Municipality whereby knowledge about HIV/ AIDS and the presence of stigma of people living with AIDS among school age teenagers have never beenobserved.Objective: To identify the relationship between knowledge about HIV/AIDS and stigma of people living with HIV/ AIDS among senior high school students at Surakarta Municipality.Method: The study was qualitative observational with cross sectional design to get deeper explanation and offer input for policy making in introducing relevant intervention. Subject of the study were as many as 558 students of 4 junior high schools of Surakarta Municipality. Quantitative data analysis used univariable, bivariable with chi square test and multivariable with logistic regression and stratification.Result: The result of test on knowledge about HIV/AIDS showed that mean was 15.40 from maximum score of 20, whereas the result of test on stigma of people living HIV/AIDS showed that mean was 15.70 from maximum score of 21. The result of qualitative study showed that there was misunderstanding about methods of HIV/AIDS infection and the presence of stigma of people living with HIV/AIDS, either among the students or teachers. The result of bivariable analysis showed that the stigma was 3.37 times stronger among students with limited knowledge about HIV/AIDS than among those with good knowledge about HIV/AIDS.Conclusion: Students with limited knowledge about HIV/AIDS had higher risk for stigma of people living with HIV/AIDS that those with good knowledge.Keywords: stigma, HIV/AIDS
Efektivitas Metode Diskusi Kelompok dengan dan Tanpa Fasilitator pada Peningkatan Pengetahuan, Sikap dan Motivasi Remaja Tentang Perilaku Seks Pranikah Sri Handayani, Ova Emilia, Budi Wahyuni
Berita Kedokteran Masyarakat (BKM) Vol 25, No 3 (2009)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (148.783 KB) | DOI: 10.22146/bkm.3560

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Background: The survey result of Indonesian Family Planning Association (PKBI) mentioned that teenagers were started to have sexual relationship when they were 13-18 years old, 60% out of them did not use the contraception, and 85% did that at their own house. This condition showed that pre marital sexual behavior in teenager was very high. Lack of education regarding reproductive health and inappropriate information could caused teenagers having free sexual behavior. This was supported the importance of reproductive health education as preventive action of pre marital sexual behavior for teenager.Objective: This research was aimed to find out group discussion method with or without facilitator that could be more effective in improving knowledge, attitude and motivation of teenager regarding pre marital sexual behavior.Method: This was a quasi experimental research that used pretest-posttest control group design. The sample was selected with purposive sampling technique based on respondent’s characteristic. In addition, the data was analysed with  analysis of variance  (ANOVA).Result:  Knowledge, attitude and motivation of teenager regarding pre marital sexual behavior before the treatment was not significant, knowledge (p = 0,940), attitude (p = 0,357) and motivation (p = 0,260). After the treatment, there was a significant improvement on knowledge (p = 0,00), attitude (p= 0,00) and motivation (p=0,024). The result of ANOVA test showed that there was a significant difference between group discussion with facilitator and group discussion without facilitator in improving teenager’s knowledge (p = 0,018) . While for improvement of attitude and motivation of teenager, there was a significant improvement between group discussion with facilitator and group discussion without facilitator with value of attitude (p= 0,734) and motivation (p= 0,647).Conclusion: Group discussion method with facilitator was more effective in improving knowledge, attitude, and motivation of teenager toward pre marital sexual behavior compare with group discussion method without facilitator.Keywords: reproductive health education, group discussion method, teenager, pre marital sexual behavior,knowledge, attitude, motivation
Faktor-Faktor yang Berhubungan dengan Pernikahan Usia Dini di Kabupaten Purworejo Jawa Tengah Rafidah Ova Emilia, Budi Wahyuni
Berita Kedokteran Masyarakat (BKM) Vol 25, No 2 (2009)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (204.229 KB) | DOI: 10.22146/bkm.3564

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Background: Early marriage  is  common  in  developing countries  including  Indonesia. Factors  related  to  early marriage  are,  among  others;  education,  economic,  and  social  aspects. The  impacts  of  early marriage  are dropout and  teenage pregnancy which causes  rejection  to  pregnancy.  In District of Purworejo marriage  below 20 years  of age  is still  as much  as  20.6%  (Community Health  and Nutrition Research Laboratory  2005).Objective: The  study aimed  to  identify  factors  related  to early marriage.Method: This was  an  observational  study with  cross  sectional design  using  both  qualitative and  quantitative approaches. Data were  obtained  through  questionnaires  and  interview  guide. Samples  of  the  study were  90 married women, who were  systematically  chosen,  respondents  of  longitudinal  surveillance  of Community Health and Nutrition Research Laboratory, 90 parents of  the  respondent, 1  religious  leader,  2 community  leaders and  1 staff  of office  of Religious Affairs. Hypothetical  test used  chi square with p<0.05, CI 95%. Multivariable analysis  used  logistic  regression.Results:  Low  perception about marriage  showed  the most  related  to  the  decision  for  early marriage. Other factors  related  to  early marriage were  low  level of  education  (RP=2.90, CI 95%=1.30–6.49,  p=0.000),  low  familyeconomic  status  (RP=1.75, CI 95%=1.05  – 2.91   p=0.017). Unemployed  parents  (RP=1.48, CI95%=0.88-2.49 p=0.23)  and  parents’  low  perception  about marriage  (RP=1.5, CI95%=0.96-2.37  p=0.05) were  not  strongly related with  early marriage.Conclusion:  Factors  related  to early marriage were  perception of  respondents about marriage, education  of respondents,  family  economic status,  and unemployed  parents.Keywords:  early marriage,  perception  about marriage,  family  economic status,  education
Determinan Perilaku Suami yang Mempengaruhi Pilihan Penolong Persalinan bagi Istri Sodikin Ova Emilia, Koentjoro
Berita Kedokteran Masyarakat (BKM) Vol 25, No 1 (2009)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (230.147 KB) | DOI: 10.22146/bkm.3577

Abstract

Background: Culture often gives  limitation  for women  in decision  taking  regarding  their health.  In  fact, husbands play an  absolute  role  to determine who will  attend and  help  the  delivery.Objective: To  explore  husbands’  behavior  in  choosing and  determining  that will  help  their wife’s  delivery.Methods: This  is  a  survey study  using  cross-sectional design. The samples were  110  husbands who had  a wife  delivering  in Pekuncen  Sub District’s  primary  health  center, Banyumas District, Central  Java, during  the period of  1 January  2005 –  31 December  2005.Results:  The  variables  that  had  significant  relationship  in  choosing  and  determining  birth  attendant were husbands’ education OR  =  7.57  (95% Cl: 2.11  – 27.15),  delivery cost OR =  6.77  (95% Cl: 2.06  – 22.28)  and husbands’  trust OR = 0.15  (95% Cl: 0.04 – 0.55). Husbands with higher  level of education had an opportunity of 7.5  times  increased  to choose and determine  the birth attendant compared  to  those with  lower  lever of education. Husbands’  trust had  an opportunity of 7  times decreased  to choose and determine  the  birth attendant compared to those with no trust to the birth attendant. Expensive delivery cost would be 6.7 times increased the determination of  the birth  attendant by  health provider  compared  to  cheap  delivery  cost.  It was  because  of some  additional cost  for  the  health  provider  that was  relatively  high. As  a  result, mean distribution  curve of  the birth  attendant cost would  tend  to go  to  the  right.Conclusions: Husbands’  education,  cost,  and  trust  factors were  the  determinant  factors  in choosing  and determining who would  attend  the  delivery.Keywords:    health  reproduction,  husband,  determining  of  child-birth  assistant
Co-Authors A.A. Ketut Agung Cahyawan W Abbas, Marwan Abdul Wahab Abdul Wahab Abdul Wahab Abu Bakar Adi Ariffianto Akifah Fatimah Albertina Bata, Verayanti Amiruddin Amiruddin Amitya Kumara Amitya Kumara Amitya Kumara Anis Widyasari Aria Kekalih Arif Tirtana Armaijn, Fadhilah Armis Armis Asep Novianto Astuti, Andari Wuri Augustine D. Sukarlan Ayub Irmadani Anwar B P Suryosubianto Bahari, Rafidah Bernadetta Esti Chrismawaty Budi Iman Santoso Daulian, Fika Denny Agustiningsih Detty Siti Nurdiati Devi Hartati Dewi Matindas Dharmayati B. Utoyo Diannisa I E Sangun Dicky Moch Rizal Dicky Moch Rizal Djaswadi Dasuki Djaswadi Dasuki Djaswadi Dasuki Djauhar Ismail Djauhar Ismail Donal Donal Donal Donal Dwi Andayani Dwi Cahyani Ratna Sari Dwi Juwartini Dwi Rahma Wati E.S, Diannisa Ikarumi Eddy Hartono Eddy Hartono Eddy Tiro Eddy Tiro Edi Patmini Edi Patmini Edi Patmini Siswanti Efrayim Suryadi Efrayim Suryadi Eti Poncorini Pamungkasari Eugenius Phyowai Ganap Eugenius Phyowai Ganap Eugenius Phyowai Ganap Evi Septiani Fadhilah Armaijn Fatwa Sari Tetradewi Febe, Ester Fielda Djuita Ganap, Eugenius Phyowai Gandes Retno Rahayu Guardian Yoki Sanjaya Gumilar, Gulam Hamid, Noor Aini Abdul Handayani, sri Hari Kusnanto Hari Kusnanto Harsono Mardiwiyoto Harsono Mardiwiyoto Hartono Hartono Hartono Hartono Helen Try Juni Asti Hepta Lidia Herlin Fitriani Kurniawati Heru Pradjatmo Hidayat, Asri Ibrahim, Juliani Ika Dewi Ana Ika Parmawati Iman, Santoso Budi Irwan Taufiqur Rachman Ismail Joko Sutresno Iwan Dwiprahasto Iwan Dwiprahasto Iwan Dwiprahasto Juli Sitorus Kartini, Farida Khusnul Khotimah khusnul khotimah Kirubashni Mohan Koheresto G. Liufeto Ksyatria, Yudhistya Ngudi Insan Leo Prawirodihardjo Lia Dewi, Vivian Nanny Lidia, Hepta Lili Ratnawati Lilie Fransiska Lilie Fransiska Lionita, Widya Magdalena Paunno Malik, Ummu Kalzum Malik, Ummu Kalzum Mappaware, Nasrudin Andi Maria Magdalena Purba, Maria Magdalena Martha Chaterince Silitonga Martinus Martinus Marwan Abbas Maryanto, Budi Mayae Hugo Mayae Hugo Mei Neni Sitaresmi Mia Kusmiati Michael Andreas Leman Moch. Anwar Mohammad Hakimi Mohammad Hakimi Mohammad Hakimi Mohammad Hakimi Mohammad Hakimi Mora Claramita Mubasysyir Hasanbasri Mubasysyir Hasanbasri Muhammad Hakimi Muhammad Nurhadi Rahman Mursyidah Khairiyah Murti Mandawati Nani Emma Nani Emma Nasrudin Andi Mappaware Ni Putu Widarini Novriana, Riska Nuraini, Laila Afiliasi Puji Nuraliah Nuraliah Nuraliah, Nuraliah Nurdiati, Detty Nuring Pangastuti Nuring Pangastuti Nuring Pangastuti, Nuring Nurlaila Marasabessy Nurlina Ina Nurlina Ina, Nurlina Nurrahma Wahyu Fitriyani Nurul Hikmah Petrana Petrana, Nurul Hikmah Phyowai Ganap, Eugenius Poedji Rochjati Poedji Rochjati Popy Irawati Popy Irawati Pratiwi, Cesa Septiana Pratiwi, Putu Irma Puspasari Puspasari Raharja, Supanji Rahmi Surayya Ramani, Subha Ratih Kumalasari Ratnawati, Lili Reni Dwi Setyaningsih Risanto Siswosudarmo Rizka Aries Putranti Rochmanita Sandya Afindaningrum Roy Jansen Sinaga Rukmono Siswishanto Sangun, Diannisa I E Sanip, Suhaila Sari, Sylvia Mustika Shinta Prawitasari Shofwal Widad Shulhana Mokhtar Silitonga, Martha Chaterince Sinaga, Roy Jansen Siswanto Agus Wilopo Sitorus, Juli Soehartati Soehartati Soerjo Hadijono Soerjo Hadijono Soerjo Hadijono Soerjo Hadijono Soerjo Hadijono Soetrisno Soetrisno Soetrisno Soetrisno Solly Aryza Sri Handayani Sri L. Menaldi Sri Linuwih Susetyo Wardhani, Sri Linuwih Susetyo Sukamdi Sukamdi Sumiyati Sumiyati SUMIYATI SUMIYATI Sunarko Sunarko Supanji Raharja Sutresno, Ismail Joko Titik Kuntari Tri Wibawa Trisasi Lestari Umar Dhani Umar Dhani, Umar Umar Malinta Umar Malinta Vella Dwi Yani Vella Dwi Yani Verayanti Albertina Bata Verayanti Albertina Bata Wahab, Abdul Wenny Artanty Nisman, Wenny Artanty Widyandana Widyandana Widyawati Widyawati Wiwin Lismidiati Yakayum Yanti Yanti Yati Soenarto Yayi S. Prabandari Yayi Suryo Prabandari Yayi Suryo Prabandari Yayi Suryo Prabandari Yekti Satriandari Yoyo Suhoyo Yudhistya Ngudi Insan Ksyatria Yuliana Yuliana Yundari, Yundari Zulfa, Siti Zakiah