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Quality and frequency of antenatal care and the incidence of stunting in Indonesia: an analysis of IFLS 5 Dewi, Zidna Akmala; Hakimi, Mohammad; Kandarina, BJ. Istiti
BKM Public Health and Community Medicine Vol 37 No 07 (2021)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v37i07.22177

Abstract

Purpose: This study aims to analyze the relationship between the quality of antenatal care and the frequency of antenatal care, as well as its impact on stunting in Indonesia, as reported in the 2014 IFLS 5 data. Methods: This study employed an observational analytic design using secondary data from the Indonesian Family Life Survey (IFLS) 5, with a historical cohort study approach. The population in this study consisted of all children aged 6-23 months who were domiciled in 13 provinces, which were the subject of IFLS 5 data. The analysis was conducted using the chi-squared test and logistic regression. Results: The results of the bivariate analysis showed that there was no significant relationship between the quality of antenatal care for the incidence of stunting, with the p-value=0.52 (RR=1.09; CI 95% = 0.83–1.41) but the frequency of antenatal care had a significant relationship with incidence of stunting with the p-value=0.01 (RR=1.52; CI 95% = 1.11–2.08). The results of multivariate analysis of the frequency of antenatal care influenced the incidence of stunting by considering the variables of blood pressure measurement, maternal work, and iron supplements with a p-value <0.01 (OR=2.015; 95% CI = 1.18–3.44). Conclusion: This study found that the frequency of antenatal care is significantly associated with the incidence of stunting.
Pengaruh Keikutsertaan Suami dalam Kangaroo Mother Care terhadap Perubahan Berat pada Bayi Berat Lahir Rendah Sofiana, Juni; Hakimi, Mohammad; Mufdlilah, M
Prosiding University Research Colloquium Proceeding of The 7th University Research Colloquium 2018: Bidang MIPA dan Kesehatan
Publisher : Konsorsium Lembaga Penelitian dan Pengabdian kepada Masyarakat Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

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Abstract

Berat lahir rendah merupakan permasalahan pada bayi baru lahir,setiap tahun terdapat lebih dari 20 juta bayi lahir dengan berat lahirrendah. Sekitar sepertiga dari jumlah BBLR ini meninggal sebelumstabil atau dalam 12 jam pertama kehidupan bayi. Untuk dapatmencapai kondisi stabil, BBLR memerlukan asuhan yang sangat intensif.Asuhan metode kanguru merupakan salah satu metode yang bisadigunakan untuk bayi berat lahir rendah, tidak hanya ibu yang bisamelakukan metode kanguru, suami juga dapat ikutserta dalam asuhanmetode kanguru. Tujuan penelitian untuk mengetahui pengaruhkeikutsertaan suami dalam kangaroo mother care (KMC) terhadapperubahan berat pada bayi berat lahir rendah. Jenis penelitian inimenggunakan metode quasi eksperimental dengan rancangan Non-Equivalent Control Group Design. Populasi dalam penelitian ini semuabayi berat lahir rendah yang memenuhi kriteria inklusi di rumah sakitYogyakarta. Teknik sampling yang dipilih yaitu consecutive sampling,dengan 30 responden pada masing-masing kelompok perlakuan dankontrol. Analisis bivariat menggunakan Wilcoxon, MannWhitney dananalisys measurement, sedangkan analisis multivariabel menggunakanregresi linear. Hasil penelitian Median perubahan berat bayi padaBBLR pada kelompok keikutsertaan suami 92.5 gram dibandingkandengan kelompok kontrol 75 gram. Hasil analisis menggunakan analysismeasurement bahwa rata-rata kelompok perlakuan 1882 gram dankelompok kontrol 2005 gram. Variabel luar yang berpengaruh terhadapperubahan berat adalah pemenuhan nutrisi. Keikutsertaan suami tidakmemiliki pengaruh yang signifikan terhadap perubahan berat pada bayiberat lahir rendah (p value 0.06).
Relasi Kuasa dalam Pengambilan Keputusan dengan Keputusan Penggunaan Kontrasepsi Dalam Rahim di Kecamatan Pejagoan Kabupaten Kebumen Qomar, Umi Laelatul; Hakimi, Mohammad; Wahyuni, Budi
Prosiding University Research Colloquium Proceeding of The 10th University Research Colloquium 2019: Bidang MIPA dan Kesehatan
Publisher : Konsorsium Lembaga Penelitian dan Pengabdian kepada Masyarakat Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

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Abstract

Pendahuluan: Pengambilan keputusan dalam keluarga tergantung dari dominasi atau keseimbangan kekuasaan di dalam keluarga tersebut. Banyak negara berkembang menganggap kedudukan perempuan lebih rendah. Hal ini membuat efek banyak wanita menyerahkan seluruh keputusan mengenai kesehatan reproduksinya pada pasangannya. Penggunaan AKDR di Kabupaten Kebumen masih rendah hanya 8%. Tujuan: tujuan dari penelitian ini adalah untuk mengetahui relasi kuasa dalam pengambilan keputusan dengan keputusan penggunaan kontrasepsi dalam rahim dari perspektif istri. Metode Penelitian: Penelitian ini merupakan jenis penelitian observasional dengan rancangan cross sectional dengan pendekatan mix methode. Populasi penelitian adalah seluruh pasangan usia subur di wilayah Kecamatan Pejagoan yang menggunakan kontrasepsi modern yang berjumlah 8001. Subjek penelitian sebanyak 158. Teknik pengambilan sampel penelitian kuantitatif menggunakan proportionate random sampling. Analisis data menggunakan analisis chi-square Hasil: Analisa bivariat menunjukkan hubungan antara variabel relasi kuasa dalam pengambilan keputusan dengan penggunaan AKDR (p<0,05). Kesimpulan: Terdapat hubungan antara relasi kuasa dalam pengambilan keputusan penggunaan kontrasepsi.
Pola makan dan anemia ibu dengan kejadian BBLR: analisis data Indonesian Family Life Survey (IFLS 5) Ulva, Siti Maria; Hakimi, Mohammad; Kandarina, Istiti
Jurnal Gizi Klinik Indonesia Vol 18, No 4 (2022): April
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.34961

Abstract

Dietary pattern and anemia with the occurrence of LBW babies: Indonesian Life Family Survey (IFLS 5)Background: Nutritional problems occur throughout the human life cycle. Maternal, infant, and neonatal mortality rates are critical national growth indicators. The most common cause of death in neonates is babies with low birth weight (LBW). Objective: This study examines the association between diet, anemia, and the incidence of LBW in Indonesia using the Indonesia Family Life Survey (IFLS) wave 5. Methods: This observational study used IFLS 5 secondary data. The study population is women of reproductive age (15-49 years), married, had their last child born alive, and their weight weighed. The independent variables were diet and anemia, while the dependent was LBW. Effect modifiers were age, parity, education, employment, pregnancy complications, consumption of iron tablets, and residence. Results: The total number of respondents was 2,368, with an LBW incidence of 8.7%. The percentage of non-diverse diets is 72.3%, more than diverse diets. There was a significant relationship between diverse dietary patterns and LBW. A less varied diet provides a 1.32 more substantial risk of giving birth to an LBW baby compared to mothers with a diverse diet. However, there was no relationship between anemia and LBW. Further analysis showed two food groups significantly associated with LBW: nuts and meat and fish. Conclusions: A diverse diet lowers the risk of LBW but is not significantly related. Efforts are needed to improve community nutrition through a varied and balanced diet. Social factors related to LBW are mothers' education and employment.
A Stress and Resilience Among Adolescents Experiencing Unintended Pregnancy: A Scoping Review Jumiati, Raodiatul; Astuti, Andari Wuri; Hakimi, Mohammad
Journal of Epidemiology and Public Health Vol. 10 No. 3 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.03.03

Abstract

Background: Unintended pregnancy (UP) among adolescents represents a global issue with profound psychological, social, and emotional consequences. Adolescents experiencing UP often face social stigma, family pressure, and uncertainty about their future, which can lead to prolonged psychological distress. This study aims to explore the experiences of stress and the resilience strategies employed by adolescents dealing with UP.Subjects and Method: This research employs a scoping review methodology based on the Arksey and O’Malley framework, with the population consisting of adolescents, teenage girls, and young mothers. The concepts included stress, stress experience, resilience strategies, and coping mechanisms, and the context was applicable across various settings. Literature was sourced from databases such as PubMed and ScienceDirect. Inclusion criteria comprised scholarly publications in English or Indonesian, primary research articles or relevant reviews addressing similar themes, and studies published within the last 10 years to ensure relevance. The PRISMA Flowchart illustrated the selection process, while the critical appraisal of the selected articles followed the Joanna Briggs Institute (JBI) guidelines.Results: UP is a significant contributor to psychological stress among adolescents, driven by social stigma, isolation, and a lack of emotional support. Nevertheless, resilience emerges as a crucial factor in managing such stress. Protective factors such as support from family and peers and emotional regulation training are pivotal in enhancing adolescent resilience.Conclusion: Community-based interventions focusing on fostering resilience through the development of psychological skills and stress management strategies are essential for supporting the mental health of pregnant adolescents.
Psychological Impact of Adolescent Pregnancy in Developing Countries: A Scoping Review Moniz, Maria de Fatima; Astuti, Andari Wuri; Hakimi, Mohammad
Women, Midwives and Midwifery Vol. 4 No. 2 (2024): Women, Midwives and Midwifery journal
Publisher : Asosiasi Pendidikan Kebidanan Indonesia (AIPKIND)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36749/wmm.4.2.1-13.2024

Abstract

Background: The increasing prevalence of adolescent pregnancy is a concern, as it affects 17% of the world’s population. Adolescent pregnancy could potentially have significant psychological impacts, including shameful, fearness, depression, and even suicidal thoughts. Purpose: The aim of this scoping review was to analyze the psychological effects of adolescent pregnancy in developing countries based on evidences published previously. Method: This scoping review was using Arksey and O’Malley’s approach. PEOS framework was used for identifying review question. The literature search was conducted by using three primary databases: PubMed, ScienceDirect, and Wiley Online Library. Gray literature was searched through Google Scholar, and included evidences were critically appraised by using JBI and MMAT critical appraisal tools. Results: Based on the search results of 542 articles, 7 were selected. This review focuses on the psychological impact of teenage marriage, including depression, stress, low self-efficacy in becoming parents, stigma or social pressure, and uncertainty about the future. Adolescent pregnancy leading to a negative impact on mental health, depression, stress, and low self-confidence among prospective parents. These issues arise due to a lack of psychological readiness to face the challenges of marriage, lack of family support, marital conflict, community stigmatization, ostracism, and shame. Conclusion: Adolescent pregnancy has adverse psychological impact for mother, thus it  is necessary to initiate cross-sectoral work collaboration to provide health and social services as well as reducing stigma within family, peer, and community environment.
Efektifitas Reflective Learning Pada Sikap Profesional Mahasiswa Kebidanan Andina Vita Sutanto; Mohammad Hakimi; Mubasysyir Hasanbasri
Jurnal Ilmu Kebidanan (Journal of Midwivery Science) Vol. 3 No. 1 (2015): Jurnal Ilmu Kebidanan (Journal of Midwifery Science)
Publisher : Jurnal Ilmu Kebidanan (Journal of Midwivery Science)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36307/1d4pep59

Abstract

Background: Midwifery educational institutions have an important role in the scoring power of professional andqualified midwives. To be able to produce a professional midwife as expected, then it takes a model of effective andinnovative learning.Objective: To know the effectiveess of reflective learning on Student Academy Midwifery Yogyakarta.Method: This type of research survey with descriptive study. The research at Academy of Midwifery in Yogyakarta.Sample student research level I, II, and III. Sampling using a minimum sample size. Variable independent variable research, namely is the reflective learning. The dependent variable is the attitude of professional midwiferystudents.Result: The result showed statistical significance (P <0.05) between the independent variable (reflective learning)with the dependent variable (professional attitude) with a prevalence ratio 2.13 95% CI (1.62 to 2.78).Conclusion: Students who did reflective learning finely will have a chance to do a good professional attitude.Keywords: Reflective learning, professional attitude, midwifery student
Potential neurological applications of Centella asiatica: a brief review Gofir, Abdul; Wibowo, Samekto; Hakimi, Mohammad
Indonesian Journal of Pharmacology and Therapy Vol 2 No 3 (2021)
Publisher : Faculty of Medicine, Public Health, and Nursing Universitas Gadjah Mada and Indonesian Pharmacologist Association or Ikatan Farmakologi Indonesia (IKAFARI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijpther.1693

Abstract

Centella asiatica (C. asiatica) or gotu kola has been used traditionally in many Asian countries as herbal medicines for many conditions, such as headache, asthma and memory enhancement. Centella asiatica has been also widely investigated for its neuroprotective effects in animal disease model including epilepsy, Alzheimer’s and Parkinson’s diseases. A brief review of neurological effects studies of C. asiatica in animal model was reported. Eligible studies published through December 2020 from PubMed and EMBASE journal data base were collected. Any keywords related to C. asiatica or gota kola AND neurological conditions were used. The results showed that several experimental studies concerning the neuroprotective properties of C. asiatica have been reported. Phytochemical studies reported that C. asiatica contained many bioactive compounds in which triterpenoids are the most identified. Furthermore, the triterpenoids have proven to have neuroprotective effect due to their effects of anti-inflammatory, antioxidant, improvement of mitochondrial dysfunctions, and increased brain-derived neurotrophic factors. Further studies are needed to investigate the neuroprotective mechanisms of C. asiatica. In conclusion, C. asiatica might have potential as an alternative medicine for neurological conditions, such as stroke, epilepsy, Alzheimer’s and Parkinson’s disease.
The effect of Centella asiatica L. Urban. and Curcuma longa L. extracts combination in improving memory performance in stroke model rats and its acute toxicity Gofir, Abdul; Ar Rochmah, Mawaddah; Wibowo, Samekto; Hakimi, Mohammad; Mustofa
Indonesian Journal of Pharmacology and Therapy Vol 2 No 2 (2021)
Publisher : Faculty of Medicine, Public Health, and Nursing Universitas Gadjah Mada and Indonesian Pharmacologist Association or Ikatan Farmakologi Indonesia (IKAFARI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijpther.1765

Abstract

Post-stroke cognitive impairment involves memory, visuoconstructional, and spatial dysfunctions. Centella asiatica L. Urban. and Curcuma longa L. are both well-known herbs in South and South-East Asia countries that are believed to possess neuroprotective properties as memory enhancers. This study aimed to investigate the effects of C. asiatica L. Urban. and C. longa L. extracts combination in improving memory performance in stroke model rats and its acute toxicity. Twenty-five Wistar rats underwent transient bilateral common carotid artery occlusion. Y-maze pre-test was performed 24 h after the occlusion. The rats were then divided into five groups i.e. Group 1 received NaCMC dilution, Group 2 received donepezil 0. 7 mg/kg BW/day, and Groups 3, 4, and 5 received the extracts combination with dose of 59; 118; and 236 mg/kg BW/day, respectively. Y-maze post-test was performed 24 h after the last dose had been given. Spontaneous alternation behavior was used as the indicator of working memory measurement. The fixed-dose method according to OECD Guideline was used to estimate the LD50 in acute toxicity testing on Wistar rats. There was a significant difference in the delta spontaneous alternation percentage among groups tested (p<0. 05). Group 1 had significant difference with any other group (compared to Groups 2 to 5; p<0.05). No significant difference could be found between groups of the extracts combination and donepezil group suggesting that the effect is not more inferior nor dose-dependent in improving memory performance. The extracts combination at a single dose of 2000 mg/kg BW did not show related signs of toxicity or mortality in any of the rats during the 14-day observation period. In conclusion, the C. asiatica L. Urban. and C. longa L. extracts combination can improve performance of memory on stroke model animal. According to Globally Harmonized Classification System, the extracts combination can be classified as Category 5/unclassified.
The Role of Decision Makers in Late Maternal Referrals Albertina Bata, Verayanti; Emilia, Ova; Hakimi, Mohammad
JURNAL KESEHATAN PRIMER Vol 4 No 1 (2019): JKP (Jurnal Kesehatan Primer)
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/jkp.v4i1.263

Abstract

Background: Three delays models in referring the mother to health facility are the most important determinants in maternal mortality. Based on the culture in West Sumba, most of the people still follow patrilinear patrimony. This culture limiting women to make decisions such as the decision to determine where to get health services, plan the number of children and bird spacing. The first model should be immediately prevented from causing the next delay which is late in making a family decision and too late to recognize danger sign in pregnancy that affects maternal mortality. Purpose: The purpose of this study was to explore the role of decision-makers in delayed maternal referrals. Methods: Qualitative research using the phenomenological design on 5 mothers who experienced a delay in referral at Padediwatu Primary Health Care. Data collected with in-depth interviews. Result: Decision maker in maternal referring was dominated by the husband. Obstacles in the referral process such as not having a vehicle, long distances and difficult road access, low economic status, and the culture that depend on others so maternal health status with complications is not a priority for the husband. Husband's work as a farmer and sailor that keeps the husband away from home or near to his wife for long periods was affected by the decision-making process of maternal referral. Conclusion: Decision-making in maternal referrals still emphasizes patrilinierculture, husbands have an important role in making maternal referral decision.
Co-Authors - Anggorowati Abd Rahman Abdul Gofir Adi Utarini Agreena, Tulus Agung Suhadi Ahmad Husein Asdie Aji Setiawan Albertina Bata, Verayanti Ambar Relawati, Ambar Anak Agung Istri Sri Wiadnyani Andina Vita Sutanto Andy Muharry Anggarini, Inge Anggi Anjarwati Anjarwati, Anjarwati Anna Marie Wattie Annisa Nurrachmawati Astuti, Andari Wuri Astuti, Bariana Widitia Astuti, Dyah Puji Basri, Mubasysyir Hasan Batubara, Rini Amalia Bernadette Josephine Istiti Kandarina Cahyaningtyas, Ayu Cahyawati, Safitri Putri Carla R. Marchira Claudia Banowati Subarto Deny Eka Widyastuti, Deny Eka Detty Siti Nurdiati Dewanto, Agung Dewi, Marta Isyana Dewi, Zidna Akmala Dhesi Ari Astuti, Dhesi Ari Djauhar Ismail Donal Donal Dyah Pradnyaparmita Duarsa Eddy Tiro Elli Nur Hayati Emiliana Mariyah Fadillah Fadillah Fatmawati, Kiki Amanda Fitri Fitri Fitriahadi, Enny Ganap, Eugenius Phyowai Ganap, Eugenius Phyowai Hadijono, Raden Soeryo Hamam Hadi Hani EN, Umu Harahap, Yanna Wari Hari Kusnanto Hartono Hartono Helmyati, Siti Herta Masthalina, Herta Hidayat, Asri I Wayan Ardika Ibrahim Rahmat Irine Christiany, Irine Iswardani, Octaldina Jumiati, Raodiatul Juminten Saimin, Juminten Khusnul Khotimah khusnul khotimah Kurnia, Arif Rahmat Kusmaryanto Kusmaryanto, Kusmaryanto Lesmana, Mohammad Hendra Setia Lestari, Abriana Lia Nurcahyani Lisma Evareny, Mohammad Hakimi, Retna Siwi Padmawati Luluk Rosida Lutfan Lazuardi Madarina Julia Mappaware, Nasrudin Andi Mappaware, Nasrudin Andi Mardjan Mardjan Mawaddah Ar-Rochmah Mayasari, Ade Tyas Meiry Nasution, Meiry Moniz, Maria De Fatima Mora Claramita Mubasysyir Hasanbasri Mufdlilah, M Mufdlilah, Mufdlilah Mursyid, Muhammad Mustofa Mustofa Nana Diana Ni Komang Yuni Rahyani Ninuk Sri Hartini, Ninuk Sri Nofrisa Mutia P, Nofrisa Noor Pramono Noor Pramono Nunuk Pusorowati, Nunuk Nur Siyam NURUL HIDAYAH Ova Emilia Perwitasari Perwitasari Phyowai Ganap, Eugenius Popy Irawati Pratiwi, Cesa Septiana Putri Hidayati Rahmansyah, Ardian Retno Heru Rina Triasih Rini Amalia Batubara Rini, Ika Sulistya Riris Andono Ahmad Risanto Siswosudarmo Riska Dwi Pramita Sari Rofita, Desi Rukmono Siswishanto Rustam Sunaryo Samekto Wibowo Saraswati, Putu Ayu Dina Sari Sudarmiati Setyonugroho, Winny Shinta Prawitasari Siswanto Agus Wilopo Siti Solekah Soenarto Sastrowijoto, Soenarto Soerjo Hadijono Soetrisno Soetrisno Soewadi Soewadi Soewadi Sofiana, Juni SRI SETIYARINI, SRI Sri Wahyuni Subarda, Subarda Suci Musvita Ayu Sulistyaningsih Sulistyaningsih Sulistyaningsih Susetyo, Dwi Susetyowati T. Ninuk Sri Hartini Titih Huriah Toto Sudargo Tri Wahyudi Ulva, Siti Maria Umar Malinta umi laelatul qomar Utami, Iis Tri Verayanti Albertina Bata Veronica Silalahi Veronika Evita Setianingrum Wahida Yuliana Wahyuni, Budi Wahyuni, Budi Willopo, Siswanto Agus Wisotowardono, Ossie Sosodoro Wiwin Lismidiati Yanti, Isra Yayi Suryo Prabandari Yayu Yuliarti Yuli Isnaeni Yuni Purwati Zulaidah, Hana Shafiyyah