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Studi Kualitatif : Pelayanan Rujukan Asfiksia Bayi Baru Lahir di Kabupaten Cirebon Jawa Barat Hadi, Ella Nurlaella
Kesmas Vol. 3, No. 3
Publisher : UI Scholars Hub

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Abstract

Pada tahun 2005, studi penatalaksanaan asfiksia bayi baru lahir (BBL) oleh bidan di desa Kabupaten Cirebon menemukan kematian asfiksia BBL yang dirujuk ke rumah sakit masih tinggi. Penelitian ini bertujuan untuk mendapatkan informasi yang mendalam tentang proses rujukan, alur penanganan rujukan kasus asfiksia BBL di RS dan kualitas pelayanan di RS rujukan Kabupaten Cirebon. Untuk itu, digunakan pendekatan kualitatif dengan metode studi kasus. Hasil penelitian menunjukkan BdD sudah menangani asfiksia BBL dengan benar, tetapi rujukan sering terlambat karena adanya faktor penghambat dari keluarga (ekonomi dan keputusan merujuk harus melibatkan keluarga besar) dan faktor lingkungan (transportasi di desa terpencil sulit terutama pada malam hari). Disamping, karena penanganan rujukan asfiksia BBL di RS belum optimal, karena masih kurangnya keterampilan petugas bagian UGD dalam manajemen asfiksia BBL dan tidak tersedianya alat resusitasi neonatus di bagian UGD, padahal prosedur penanganan kasus rujukan pertama kali di bagian UGD. In Cirebon district (2005) research on village midwives’s experience in managing birth asphyxia showed mortality of newborns with asphyxia who were referred to the hospitals were still high. This research was aimed to assess referral process, management procedure of referral birth asphyxia cases and quality of care given in the referral hospitals. This study was conducted using qualitative approach focusing on case study method. The result of this study showed that village midwives managed birth asphyxia correctly, but referral of newborn cases was often delayed, because of community factors (finance and delayed decision making by whole family to refer the newborn to the hospitals) and environmental factor (transportation in remote villages was difficult, especially at night. Besides that, referral hospitals were not yet providing adequate emergency care for referral cases of birth asphyxia. These were primarily due to lack of skills in management of birth asphyxia and unavailability of resuscitation device in emergency room.
Determinants of an integrated management of childhood illness program implementation in Indonesia Amalia, Dwi Octa; Hadi, Ella Nurlaella
BKM Public Health and Community Medicine Vol 39 No 03 (2023)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v39i03.6974

Abstract

Purpose: This study aims to identify the factors related to health system support that influence the implementation of Integrated Management of Childhood Illness (IMCI) in primary health care facilities in Indonesia, specifically in relation to leadership. Methods: The research method used is a literature review. Database searches of Garuda, Google Scholar, Proquest, Science Direct, Biomed, and Pubmed were performed from 2012 to 2022 using the keywords “manajemen terpadu balita sakit”, “IMCI Indonesia”. Results: A total of 1,238 articles were screened for eligibility and five published articles met the inclusion criteria and objectives of this literature review. Based on five articles reviewed, nine variables associated with IMCI implementation were analyzed in this study, including leadership support, supervision, completeness of medicine and medical equipment, presence of consultation room, motivation, attitudes, knowledge, and completeness of filling out forms. Conclusion: The support of the health system is a key challenge in implementing IMCI. Therefore, strengthening health system support is needed to optimize the implementation of IMCI. In addition, there is a need to strengthen leadership and provide regular supervision and feedback to ensure that IMCI implementation is in accordance with standards and to increase health worker motivation to improve their performance in providing health services.
Visual inspection with acetic acid screening use determinants: a systematic literature review Ayu, Septi; Hadi, Ella Nurlaella
BKM Public Health and Community Medicine Vol 40 No 04 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i04.12397

Abstract

Purpose: In Indonesia, in 2022, of 36,964 cervical cancer cases, 56% ended in death due to cervical cancer. Cervical cancer can be identified at an early stage through routine examinations, allowing for more effective treatment and increasing the chances of cure. The visual inspection of acetic acid (VIA) screening has emerged as a simple, effective, and affordable option. Methods: The research method uses a systematic literature review, carried out using primary studies from PubMed, Proquest, and Google Scholar using the keywords "woman; VIA; preventing cervical cancer" published between 2019 and 2024, full text and open access articles and according to the topic. Results: 25,999 research articles were screened for eligibility, and 10 met the inclusion criteria. The coverage of the VIA screening was due to age, social norms, opinions, behavior of other people, the availability of health facilities, support from husbands, support from health workers, and economic conditions. Conclusion: Educational interventions at the community and health facilities are needed to increase VIA examination coverage. Socialization and education involving women and men are expected to help increase public participation in VIA examinations and reduce morbidity and mortality due to cervical cancer.
Lifestyle Risk Factors and Hypertension on Students: a Cross Sectional Study Martiningsih, Martiningsih; Novieastari, Enie; Gayatri, Dewi; Nursasi, Astuti Yuni; Hadi, Ella Nurlaella
Jurnal Kesehatan Prima Vol. 18 No. 2 (2024): AUGUST
Publisher : poltekkes kemenkes mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/jkp.v18i2.1692

Abstract

The incidence of hypertension is likely to occur at an increasingly younger age. The incidence is mainly due to risk factors for unhealthy behavior and lifestyle in adolescents. The purpose of this study was to analyze behavioral and lifestyle risk factors that affect the incidence of hypertension in adolescents. This research design is a descriptive-analytic with the cross-sectional study. The subjects in this study were 407 respondents from 10 junior and senior high schools in Bima City. Independent variables were gender, age, some behaviors like smoking, alcoholic, drug abuse, exercise, and healthy diet, abdominal circumference, and body mass index. Whereas, the dependent variable covers the incidence of hypertension. Results: In this study, behavioral risk factors in adolescents that correlate with hypertension are body mass index, age, and smoking behavior. The omnibus test results p value = 0.018 (
Hubungan Persepsi Pola Asuh Orang Tua dan Karakteristik Siswa dengan Kecemasan Siswa Kelas 7 - 12 di Sekolah X Jakarta Apryanti, Andi Rika; Hadi, Ella Nurlaella; Damayanti, Rita
Perilaku dan Promosi Kesehatan : Indonesian Journal of Health Promotion and Behavior Vol. 7, No. 1
Publisher : UI Scholars Hub

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Abstract

Background. Anxiety is a negative emotional response that is subjective with physical symptoms. Anxiety is influenced by various factors such as parenting styles and student characteristics. Objective. The purpose of this study was to determine the relationship between perceived parenting styles and student characteristics with anxiety in 7th – 12th grade students at School X Jakarta. Method. This research is a quantitative study using a cross-sectional design. Data from 220 of 486 students who were willing to take part of this study and had permission from their parents were collected by filling out a questionnaire independently. Data were analyzed using the chi-square test. Results. The results showed that the prevalence of anxiety in 7th – 12th grade students at School X Jakarta were 27.3%. The most dominate student’s perceptions of their parenting styles are authoritative (36.4%) and neglectful (36.4%). Meanwhile, the characteristics of the students were early teens (58.2%), female (50.5%), and junior high school level (72.7%). The results of the analysis showed a significant relationship between neglectful parenting, indulgent parenting, student gender, and grade level with student anxiety. Conclusion. Student at risk of experiencing anxiety are female, high school level, and parenting style is neglectful or indulgent. For this reason, School X needs to conduct an evaluation to these student, as well as providing a "student’s mail box" and parenting workshops.