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All Journal International Journal of Public Health Science (IJPHS) Archive of Community Health Buletin Udayana Mengabdi Jurnal Pendidikan Teknologi dan Kejuruan Jurnal Kreatif Tadulako Online Jurnal Gizi Klinik Indonesia Jurnal Analisis Bisnis Ekonomi Indonesian Journal of Health Research ISM (Intisari Sains Medis) : Jurnal Kedokteran Bali Medika Jurnal Jurnal Ners Jurnal Ilmiah Kebidanan (The Journal Of Midwifery) Jurnal Kesehatan Gigi (Dental Health Journal) Bali Dental Journal Public Health and Preventive Medicine Archive Jurnal Pembelajaran dan Pengembangan Matematika Jurnal Penelitian dan Kajian Ilmiah Kesehatan Politeknik Medica Farma Husada Mataram Jurnal Analisis Bisnis Ekonomi
Desak Putu Yulita Kurniati
Program Studi Ilmu Kesehatan Masyarakat, Fakultas Kedokteran Universitas Udayana
Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Mathematics Medicine & Pharmacology Nursing Public Health Other

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Needs for Reproductive Health Education for Deaf Students in Singaraja District, Bali Province Nyoman Sri Ariantini; Desak Putu Yuli Kurniati; Dyah Pradnyaparamita Duarsa
Indonesian Journal of Health Research Vol 2 No 2 (2019): August 2019
Publisher : Universitas Triatma Mulya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32805/ijhr.2019.2.2.51

Abstract

Introduction. Adolescents with hearing impairment face a number of exclusion due to their limitation, including lack of access to information on reproductive health. This study was aimed to explore needs for sexual and reproductive health education for students with hearing impairment at SLB B Negeri Singaraja. Methods. A qualitative study was conducted at Singaraja District. Data were collected at through in-depth interviews to 19 informants. Informants were purposively selected based on their specific roles. Our informants included ten students with hearing impairment, one head of school, five teachers, and three parents or carers. Data were analysed using a thematic approach. Results. The majority of students with hearing impairment were having low level of knowledge associated to sexual and reproductive health. However, sexual and reproductive health practices between adolescents with and without hearing impairment were generally comparable. Needs for sexual and reproductive health education must cover several elements: (1) education material must be tailored based on age, (2) learning methods should be tailored based on their intellectual ability, and (3) learning methods must use contextual and real model approach to allow better transfer of information. Teachers faced difficulty to provide sexual and reproductive health education for students with hearing impairment even though some modules are already available. Conclusion. Students with hearing impairment at SLB B Singaraja State need more simple learning pictures and videos that are accompanied by written texts and sign language movements so that it is easier to understand the material delivered by the teacher, where the reproductive health education material needed is age-appropriate material and the development of each individual, while the reproductive health learning methods needed by deaf students are simpler learning methods while still using sign language.
Status kesehatan dan asupan mikronutrien vegetarian dan nonvegetarian di Bali Ni Ketut Sutiari; Ali Khomsan; Hadi Riyadi; Faisal Anwar; Desak Putu Yuli Kurniati; Widya Astuti
Jurnal Gizi Klinik Indonesia Vol 17, No 4 (2021): 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.64443

Abstract

Health status and micronutrient intake among vegetarian and non-vegetarian in BaliBackground: Several studies have reported that vegetarian diets have health benefits for those adopting the diets.Objective: This study aimed to compare anemia status and micronutrient intake between vegetarians and non-vegetarians in Bali.Methods: This cross-sectional study was conducted in Bali. A total of 240 samples consisting of 160 vegetarians and 80 non-vegetarians were randomly selected. Hemoglobin (Hb) and fasting blood sugar levels were measured using the cyanmethemoglobin method and enzymatic colorimetric, respectively. Meanwhile, the data on micronutrient intakes were collected by interviews using the semi-quantitative food frequency questionnaire (SQFFQ). The data were analyzed using descriptive statistics, and the Mann-Whitney test was performed to analyze the differences.Results: The study’s results showed that the mean Hb levels in the vegetarian group were significantly lower than non-vegetarians (p=0.002; p<0.05), and the anemia status in vegetarian women were higher (22.5%) than non-vegetarian women (2.5%). The mean fasting blood glucose level in non-vegetarians was significantly higher than in the vegetarian group (p=0.000; p<0.05). There were no differences in zinc (Zn) intake between vegetarians and non-vegetarians, but there were significant differences (p<0.05) in vitamin C, vitamin D, vitamin B12, folic acid, magnesium (Mg), calcium (Ca), and iron (Fe) intakes.Conclusions: There were differences in anemia status and fasting blood glucose levels between vegetarians and non-vegetarians. The fasting blood glucose levels of non-vegetarians were higher than vegetarians, and there were differences in the intake of certain micronutrients between vegetarians and non-vegetarians.
Influence of Social Media Exposure on Knowledge and Behaviour of COVID-19 Preventive Measure Putu Ayu Indrayathi; Putu Erma Pradnyani; Pande Putu Januraga; Luh Putu Sinthya Ulandari; Laszlo Robert Koloszvari; Benny Tjahjono; Desak Putu Yuli Kurniati; Monika Sri Yuliarti
International Journal of Public Health Science (IJPHS) Vol 11, No 4: December 2022
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v11i4.21926

Abstract

A lot of misinformation about COVID-19 on social media possibly hinder the practice of healthy behaviors that are essential to protect individuals. This situation is exacerbated by the lack of health literacy in Indonesia. This study aimed to determine the influence of social media information exposure on the knowledge and behavior of Indonesians in compliance with COVID-19 protocols. An online survey of 909 people was conducted from July 2nd to August 10th, 2020. The data collected were knowledge and behavior of preventing COVID-19, while independent variables were socio-demographic characteristics and exposure to social media information. Inclusion criteria were defined as follows: minimum age of 18 years and domiciled in the country during the data collection period. The analysis used for the data collected were univariate and multivariate. The result showed that gender, age, marital status, and social media presence significantly affect a person's knowledge about COVID-19 with a p-value of 0.05. Enforcement behavior of health and healthy living protocols is significantly influenced by the respondent’s gender, marital status, education level, the island of residence, and exposure to online information. The frequency of exposure to information affects people's knowledge and behavior to implement health protocols and healthy living in the COVID-19 era, and it is further influenced by socio-demographic characteristics.
Hubungan tingkat pengetahuan dan perilaku ibu dalam merawat gigi anak terhadap kejadian karies anak di TK Titi Dharma Denpasar Ni Putu Chandra Parama Jyoti; Putu Ratna Kusumadewi Giri; Steffano Aditya Handoko; Desak Putu Yuli Kurniati; Luh Wayan Ayu Rahaswanti
Bali Dental Journal Vol. 3 No. 2 (2019): June 2019
Publisher : School of Dentistry Faculty of Medicine Udayana University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/bdj.v3i2.34

Abstract

ABSTRAK: Latar Belakang: Anak usia sekolah di Indonesia memiliki risiko besar terkena karies karena faktor makanan, penggunaan fluoride, penggunaan susu botol serta tingkat pengetahuan dan perilaku dari orang tua yang berkaitan dengan perawatan gigi dan mulut. Pada anak usia Taman Kanak-kanak, perawatan gigi dan mulut masih bergantung kepada ibu yang merupakan figur terdekat seorang anak. Tujuan: Tujuan dari penelitian ini adalah untuk mengetahui hubungan tingkat pengetahuan ibu dan perilaku ibu dalam merawat gigi anak terhadap kejadian karies anak di TK Titi Dharma Denpasar. Metode penelitian: desain penelitian menggunakan metode cross-sectional analitik pada 46 ibu serta anaknya. Ibu diberikan kuesioner untuk mengetahui tingkat pengetahuan serta perilaku dalam merawat gigi anak, kemudian dilakukan pemeriksaan rongga mulut untuk mengetahui indeks karies anak dari ibu yang telah mengisi kuesioner tersebut. Hasil : dari hasil penelitian menunjukan bahwa 67,9% ibu memiliki pengetahuan yang baik, kemudian terdapat 65,22% ibu dengan perilaku yang baik mengenai perawatan gigi anak. Indeks karies di TK Titi Dharma Denpasar sebesar 3,9 (kategori sedang). Kesimpulan: kesimpulan penelitian ini adalah terdapat hubungan tingkat pengetahuan serta perilaku ibu dalam merawat gigi anak terhadap kejadian karies anak di TK Titi Dharma Denpasar.
Hubungan Pengetahuan Kebersihan Gigi dan Mulut dengan Indeks Karies pada Anak Usia 10-12 Tahun di Sekolah Dasar Negeri 5 Sumerta Gusti Ngurah Ade Sorolawe; Luh Wayan Ayu Rahaswanti; Desak Putu Yuli Kurniati
Bali Dental Journal Vol. 5 No. 2 (2021): June 2021
Publisher : School of Dentistry Faculty of Medicine Udayana University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/bdj.v5i2.71

Abstract

Background: Oral hygiene knowledge is a factor that can affect the occurrence of dental caries. The prevention of dental caries occurrence can be done with Dental Health Education (DHE) to the community especially early childhood because, in this phase, the teeth growth enter the mixed dentition phase, the children are more independent and able to receive information. DHE can be given through public health services from a program called UKGS (School Dental Health Unit) that are aimed at elementary school children. Objective: The purpose of this study is to determine the relationship between the levels of oral hygiene knowledge with caries index in children aged 10-12 years at SDN 5 Sumerta. Methods: This research used an analytical research design with a cross-sectional approach. The sampling technique is using simple random sampling with 50 children as total samples. Data was obtained by questionnaire and dental screening, then analyzed with Rank Spearman Test. Results: The results of this study showed that children with high knowledge levels had a def-t index of 1.38 and DMF-T of 0.19. This value was lower compared to children with less knowledge who had the def-t index of 4.83 and the DMF-T index of 2.17. Spearman rank test results showed a value of (p) is -0.596 on def-t and -0.658 on DMF-T and a value of (α) is 0.01 (α < 0.05) which means that the correlation is significant. Conclusion: The conclusion of this research was oral hygiene knowledge had a strong association with the caries index of deciduous or permanent teeth with a negative correlation value. Latar belakang: Pengetahuan tentang kebersihan gigi dan mulut merupakan salah satu faktor yang mempengaruhi tingkat terjadinya karies gigi. pencegahan terhadap terjadinya karies gigi dapat dilakukan dengan pemberian Dental Health Education (DHE) kepada masyarakat terutama anak usia dini karena pada fase ini, gigi memasuki fase gigi bercampur serta anak mulai lebih mandiri dan mampu menerima informasi. DHE dapat diberikan melalui salah satu program puskesmas yaitu UKGS (Unit Kesehatan Gigi Sekolah) yang ditujukan pada anak sekolah dasar. Tujuan: Tujuan penelitian ini adalah untuk mengetahui hubungan antara tingkat pengetahuan kebersihan gigi dan mulut dengan indeks karies pada anak usia 10-12 tahun di SDN 5 Sumerta. Metode: Penelitian ini menggunakan desain penelitian analitik dengan pendekatan cross-sectional. Tehnik sampling menggunakan metode simple random sampling dengan total sampel 50 orang anak. Data diperoleh dengan pemberian kuesioner dan screening gigi, kemudian dianalisis dengan Uji Rank Spearman. Hasil : Hasil dari penelitian ini menunjukan anak dengan tingkat pengetahuan tinggi memiliki indeks def-t sebesar 1,38 dan DMF-T sebesar 0,19. Nilai ini lebih rendah dibandingkan dengan anak dengan pengetahuan kurang yang memiliki indeks def-t sebesar 4,83 dan indeks DMF-T sebesar 2,17. Hasil uji rank spearman menunjukan nilai (p) sebesar -0,596 pada def-t dan -0,658 pada DMF-T dan nilai (α) 0,01 yang berarti bahwa korelasi signifikan karena nilai (α) < 0,05. Simpulan: Simpulan penelitian ini adalah pengetahuan kebersihan gigi dan mulut memiliki hubungan yang kuat terhadap indeks karies gigi sulung atau permanen dengan nilai korelasi negatif.
Determinan yang berpengaruh terhadap perawatan ortodontik pada remaja di Kota Denpasar Ni Made Putri Meiliawati; Nyoman Desak Ari Susanti; Desak Putu Yuli Kurniati
Bali Dental Journal Vol. 3 No. 1 (2019): January 2019
Publisher : School of Dentistry Faculty of Medicine Udayana University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/bdj.v3i1.125

Abstract

Introduction: Adolescents in the aged of 10 to 24 years in Denpasar ranked highest in orthodontic treatment for about 3.6%. Adolescents behaviour in orthodontic treatment is very important, because especially the use of fixed orthodontic appliance could have an impact in increase amount of plaque that can cause dental caries, as a result of the difficulty of oral hygiene procedures on patients. The purpose of this study is to determine adolescent behaviour in orthodontic treatment. Method: This study used a cross-sectional analytic design. Sampling technique used is purposive sampling with total sample 66 and respondent were taken with an age range of 12-25 years who are on fixed orthodontic treatment in Denpasar. Data were collected using questionnairies to determine the behavior of adolescents to fixed orthodontic treatment. Result: The results showed that the average respondents have good knowledge 40.9% with good behavior, good attitude 63.6% with good behavior, good cost 42.4% with good behavior, good source of information, less infrastructure 68.2% with less behavior, and good health care 60.6% with good behavior. Conclusion: Based on the results of research conducted that there is a relationship between infrastructure with orthodontic treatment behavior, while other variables do not show the relationship of orthodontic treatment behavior, and the most influential aspect from fixed orthodontic treatment are infrastructure.
Hubungan motivasi, perilaku menjaga oral hygiene dan indeks plak siswa pengguna piranti ortodontik cekat di SMA se-Kecamatan Bangli Luh Putu Widiastri; Putu Ika Anggaraeni; Desak Putu Yuli Kurniati
Bali Dental Journal Vol. 4 No. 2 (2020): June 2020
Publisher : School of Dentistry Faculty of Medicine Udayana University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/bdj.v4i2.306

Abstract

Background: The success of orthodontic treatment depends on oral hygiene of the patient. Maintaining a good oral hygiene takes a lot of motivation and good behavior. There’s two motivations, intrinsic motivation and extrinsic motivation. A good motivation comes from inside (instrinsic motivation) not from outside (extrinsic motivation). Motivation influences a person's behavior to maintain oral hygiene, which is very influential on the success of fixed orthodontic treatment so it needs to be investigated. The aim of the study is to investigate the correlation between motivation to perform fixed orthodontic treatment, the behavior of maintaining oral hygiene and plaque index. Methods: This study was observational analytic cross-sectional. The 64 participants were students using fixed appliance from senior high school in Bangli District. A questionnaire was used to collect participant’s motivation and behavior. The plaque index was calculated using Modified Sillness-Loe. Result: Chi-square test show there’s significant correlation between instrinsic motivation and plaque index (p<0.05). No significant correlation between extrinsic motivation and plaque index (p>0.05). Significant correlation was found between maintaining oral hygiene behavior and plaque index (p<0.05). Conclusion: intrinsic motivation and behavior of maintaining oral hygiene can affect plaque index. Latar Belakang: Keberhasilan perawatan ortodontik cekat sangat dipengaruhi oleh oral hygiene dan kooperatif pasien. Pemeliharaan oral hygiene selama perawatan memerlukan motivasi yang kuat dan perilaku menjaga oral hygiene yang baik. Motivasi pasien melakukan perawatan ortodontik cekat terdiri dari dua motivasi yaitu motivasi intrinsik dan motivasi ekstrinsik. Motivasi yang baik berasal dari diri sendiri (intrinsik) bukan dari faktor lingkungan (ekstrinsik). Motivasi mempengaruhi perilaku seseorang menjaga oral hygiene, yang sangat berpengaruh terhadap keberhasilan perawatan ortodontik cekat sehingga perlu diteliti lebih lanjut. Tujuan dalam penelitian ini adalah untuk mengetahui hubungan motivasi melakukan perawatan ortodontik cekat, perilaku menjaga oral hygiene dan indeks plak. Metode: Penelitian ini adalah observasional analitik cross-sectional. Sampel sebanyak 64 siswa pengguna piranti ortodontik cekat di SMA se-Kecamatan Bangli. Data motivasi dan perilaku diperoleh menggunakan kuesioner dan data indeks plak melalui metode Modified Sillness-Loe. Hasil: Hasil analisis Chi-square menunjukkan ada hubungan yang signifikan antara motivasi intrinsik terhadap indeks plak (p<0,05). Tidak ada hubungan yang signifikan antara motivasi ekstrinsik dengan indek plak (p>0,05). Ada hubungan yang signifikan antara perilaku menjaga oral hygiene terhadap indeks plak (p<0,05). Kesimpulan: Motivasi intrinsik dan perilaku menjaga oral hygiene berpengaruh terhadap indeks plak.
IMPLEMENTASI KEBIJAKAN INISIASI MENYUSU DINI (IMD) DI RSU BHAKTI RAHAYU DENPASAR Ni Made Rahayu Pradnyasari; Dinar Saurmauli Lubis; Ni Komang Ekawati; Komang Ayu Kartika Sari; Desak Putu Yuli Kurniati
ARCHIVE OF COMMUNITY HEALTH Vol 9 No 2 (2022): Agustus 2022
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Udayana Berasosiasi Dengan Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/ACH.2022.v09.i02.p01

Abstract

ABSTRAK IMD adalah meletakkan bayi diatas dada atau perut ibu dan membiarkan bayi mencari puting susu ibu pada satu jam pertama kelahiran. Tujuan penelitian ini untuk menggambarkan implementasi kebijakan IMD di RSU Bhakti Rahayu. Desain penelitian adalah deskriptif kualitatif. Informan utama penelitian yaitu bidan pelaksana dan perawat Unit Bedah Sentral. Informan pendukung yaitu ibu hamil dan ibu bersalin. Pengumpulan data dengan wawancara mendalam dan observasi. Strategi keabsahan data menggunakan triangulasi sumber. Terdapat SOP sebagai petunjuk kerja unit pelaksana, monitoring dilakukan setiap persalinan dan pembagian tugas dilakukan secara situasional. Jumlah, kompetensi dan pelatihan Sumber Daya Manusia sudah terpenuhi, ketersediaan fasilitas sudah baik. SOP disampaikan saat pelatihan dan KIE mengenai IMD diberikan saat ANC. Bidan sudah memiliki sikap mendukung tetapi ditemukan kesalahpahaman tatalaksana IMD. Hambatan pelaksanaan IMD adalah tidak ada ruang observasi khusus persalinan SC, kondisi ibu dan bayi dengan tindak lanjut medis dan kurangnya dukungan suami mendampingi saat bersalin. Kesimpulannya adalah implementasi kebijakan IMD sudah berjalan sesuai SOP walaupun terdapat kesalahpahaman tatalaksana IMD dan hambatan pada pelaksanaannya. Peran rumah sakit dapat dimaksimalkan untuk mendukung implementasi IMD sesuai SOP yang berlaku, bagi peneliti selanjutnya agar memilih topik serupa terkait implementasi IMD di fasilitas kesehatan dengan metode yang berbeda. Kata kunci : Implementasi, IMD dan rumah sakit ABSTRACT EIB is placing the baby on the mother's chest or stomach and letting the baby look for the mother's nipple in the first hour of birth. The purpose of this study is to describe the implementation of the EIB policy at Bhakti Rahayu General Hospital. The research design is descriptive qualitative. The main informants of the study were midwives and nurses of the Central Surgical Unit. Supporting informants are pregnant women and mothers giving birth. Data collection by in-depth interviews and observations. The data validity strategy uses source triangulation. There are SOPs as work instructions for the implementing unit, monitoring is carried out every delivery and the division of tasks is carried out situationally. The number, competence and training of Human Resources have been met, the availability of facilities is good. The SOP was delivered during the training and information about EIB was given during the ANC. Midwives already have a supportive attitude but there are misunderstandings about the management of EIB. Barriers to the implementation of IMD are that there is no special observation room for cesarean delivery, the condition of the mother and baby with medical follow-up and the lack of husband support during delivery. The conclusion is that the implementation of the EIB policy has been running according to the SOP, although there are misunderstandings in the management of EIB and obstacles to its implementation. The role of the hospital can be maximized to support the implementation of EIB according to the applicable SOP, for further researchers to choose a similar topic related to the implementation of EIB in health facilities with different methods. Keywords : Implementation, Early Initiation of Breastfeeding (EIB), hospital
PERSEPSI IBU HAMIL DALAM MENGAKSES PELAYANAN ANTENATAL DI PUSKESMAS KARANGASEM I PADA MASA PANDEMI COVID-19 Ni Luh Yukti Trisnalanjani; Desak Putu Yuli Kurniati
ARCHIVE OF COMMUNITY HEALTH Vol 9 No 2 (2022): Agustus 2022
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Udayana Berasosiasi Dengan Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/ACH.2022.v09.i02.p09

Abstract

ABSTRAK Pelayanan Antenatal (ANC) adalah salah satu bentuk pelayanan kesehatan ibu yang bertujuan untuk menjaga kesehatan ibu hamil selama periode kehamilan. Kekhawatiran terhadap penularan Covid-19 menyebabkan penurunan akses ibu hamil terhadap ANC. Namun di Puskesmas Karangasem I, cakupan ANC pada masa pandemi justru dapat meningkat dibanding sebelum pandemi. Berdasarkan Teori Health Belief Model (HBM), perilaku seseorang dalam mengakses pelayanan kesehatan dipengaruhi oleh persepsi ancaman terhadap penyakit dan persepsi bahwa perilaku tertentu dapat mengatasi penyakit. Tujuan dari penelitian ini adalah mendeskripsikan persepsi ibu hamil dalam mengakses ANC di Puskesmas Karangasem I pada masa pandemi Covid-19. Penelitian ini merupakan penelitian kualitatif deskriptif dengan pendekatan fenomenologi. Informan penelitian dipilih secara purposive sampling terdiri dari ibu hamil, suami ibu hamil, dan bidan Puskesmas Karangasem I. Data dikumpulkan dengan metode wawancara mendalam dan observasi. Validasi data melalui triangulasi sumber dan triangulasi metode.Hasil penelitian menunjukkan meskipun merasa rentan dan menganggap Covid-19 sebagai penyakit yang serius, kekhawatiran ibu hamil dengan kondisi janinnya mendorong ibu untuk tetap melakukan ANC selama pandemi dengan menerapkan protokol kesehatan. Ibu hamil juga menganggap manfaat yang diperoleh dari ANC lebih besar dari hambatan untuk ANC, serta disaat bersamaan ada kesadaran dari dirinya sendiri serta dukungan bidan yang memicu kunjungan antenatal pada masa pandemi. Kata kunci : Pelayanan Antenatal, Persepsi, Ibu Hamil, Pandemi Covid-19, Bali ABSTRACT Antenatal care (ANC) is a service provided for pregnant women to maintain their health during pregnancy. During Covid-19 pandemic, routine antenatal visit is one of risk factors for pregnant women contracting Covid-19. Concern over Covid-19 transmission has declining access of pregnant women to ANC. However, at The Public Health Center of Karangasem I, ANC coverage during Covid-19 pandemic has even increased. Based on The Health Belief Model Theory, health behavior is determined by perceptions about disease and particular practice will effective reducing the threat. The present study aims to describe the perceptions of pregnant women in accessing ANC during Covid-19 pandemic. The study conducted using qualitative design and phenomenological approach. The research informants are pregnant women, husband, and midwives chosen through purposive sampling. Data collected using in-depth interviews and observation. The data analyzed using thematic analysis. Data validation using data source triangulation and method triangulation. The result showed despite of feeling vulnerable and consider Covid-19 as a serious disease, the concerns of pregnant women over their fetus encourage them to access ANC by health protocols. Pregnant women also consider the benefits of ANC are bigger than the risk. They have self-awareness and support from midwifes as cues to action. Keywords: Antenatal Care, Perception, Pregnant Women, Covid-19 Pandemic, Bali
Analysis of the Birth Insurance Program (Jampersal) utilization in Bangli District, Bali, Indonesia Ni Made Ayu Kemala Dewi; Yuli Kurniati; Pande Putu Januraga
Public Health and Preventive Medicine Archive Vol. 8 No. 1 (2020)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (644.001 KB) | DOI: 10.53638/phpma.2020.v8.i1.p08

Abstract

Background and purpose: The Birth Insurance Program or called Jaminan Persalinan (Jampersal) aims to reduce maternal and newborn deaths. Bangli is one of the districts in Indonesia with low utilisation of Jampersal program. The study aims to explore factors associated with the low utilization and uptake of Jampersal Program in Bangli District. Methods: This was a qualitative study conducted between April- May 2019. The study involved 24 informants who were selected purposively. The informants were 18 pregnant women, two community leaders, three health workers and one Bangli Health Office’s staff. Data were collected through in-depth interviews which explore factors associated to utilisation of Jampersal using PRECEDE-PROCEED Framework. Data were analyzed by thematic analysis. Results: We found that informants who used Jampersal had sufficient knowledge about Jampersal, were exposed to the program informed by health workers and community leaders, and were supported by their families. Whereas, those who yet to utilize Jampersal had a poor understanding on Jampersal service mechanisms, lack of spousal support in preparing Jampersal requirements and private midwives had not signed the Jampersal MoU. Conclusion: Low utilisation of Jampersal Program in Bangli District partially influenced by low understanding of the program and in-optimal involvement of midwifery networks. The local health office should further expand cooperation with the private midwife network for optimum utilization of Jampersal, elucidation of the Jampersal technical guidelines to health workers, as well as technical support for participants in completing required documents.
Co-Authors A.A. Ketut Agung Cahyawan W A.I.Y.D. Putra Ali Khomsan Baiq Rizka Herliana Benny Tjahjono C.I.D.Y. Dewi DA Mirah Ardrini Desak Nyoman Ari Susanti Dewa Nyoman Wirawan Dewa Nyoman Wirawan, Dewa Nyoman Dewi Aprelia Meriyani Dewi, Ni Made Ayu Kemala Dinar Lubis Dyah Pradnyaparmita Duarsa Ekawati, Ni Komang Faisal Anwar Giri Inayah Gusti Ayu Ikha Adyastuty Sanatha Gusti Ngurah Ade Sorolawe Hadi Riyadi Herliana, Baiq Rizka I Dewa Ayu Bintang Pradnya Dewi I Gusti Agung Trisna Windiani I Gusti Ayu Agung Putri Krismayanthi I Ketut Resika Arthana I Made Ady Wirawan I Made Ardwi Pradnyana I Made Kerta Duana I Made Subrata I MADE SUTARGA I Nyoman Gunarta I Wayan Gede Artawan Eka Putra I.A.D. Wiryanthini I.W.G.A.E. Putra Ifa Nurhasanah Ifa Nurhasanah Kadek Adi Wibawa Karina Samaria Ketut Sri Astuti Komang Ayu Kartika Sari Komang Srititin Agustina Krismayanthi, I Gusti Ayu Agung Putri Kumalasari, Heni Kurniasih Widayati Laszlo Robert Koloszvari Luh Erlanggita Narta Santi Luh Pitriyanti Luh Pitriyanti Luh Putu Lila Wulandari Luh Putu Sinthya Ulandari Luh Putu Widiastri Luh Wayan Ayu Rahaswanti Made Pasek Kardiwinata Meriyani, Dewi Aprelia Monika Sri Yuliarti Ni Kadek Fiora Rena Pertiwi Ni Ketut Sutiari Ni Komang Ekawati Ni Luh Made Rare Ayu Sawitri Ni Luh Putu Suariyani Ni Luh Yukti Trisnalanjani Ni Made Ayu Kemala Dewi Ni Made Kadek Artini Ni Made Oka Anggreni Ni Made Putri Meiliawati Ni Made Rahayu Pradnyasari Ni Made Sri Nopiyani Ni Nengah Wida Yasmari Ni Nyoman Ayuk Widiani Ni Nyoman Feby Wulandari Ni Nyoman Sukarti Ni Nyoman Widiari Ni Putu Chandra Parama Jyoti Ni Wayan Arya Utami, Ni Wayan Arya Ni Wayan Septarini Ni Wayan Sutarmi Nyoman Sri Ariantini Nyoman Sri Ariantini P.K.P. Wirtarandita P.P.T. Saraswati Pande Putu Januraga Putu Ayu Indrayathi Putu Candra Semara Putri Putu Erma Pradnyani Putu Ika Anggaraeni Putu Inok Puspaeni Putu Lestari Sudirman Putu Ratna Kusumadewi Giri Putu Suarniti Noviantari Rina Listryowati Rini Winangsih Rini Winangsih, Rini Sari, Komang Ayu Kartika Sharaswathi, Ni Kadek Indah Ratih Shuka Oyagi Steffano Aditya Handoko Susi Widjajani T.B.A.A. Prawira Widayati, Kurniasih Widiani, Ni Nyoman Ayuk widya astuti Widya Astuti