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Ayun Sriatmi

Fakultas Kesehatan Masyarakat, Universitas Diponegoro, Semarang

Author-ID : 3091490

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Analysis on Work Performance Difference between Trained and Untrained Midwives in Neonatal Case Integrated Management in Kudus District Muslimah Muslimah; Chriswardani Suryawati; Ayun Sriatmi
Jurnal Manajemen Kesehatan Indonesia Vol 1, No 3 (2013): Desember 2013
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Latar Belakang : Tahun 2010 didapatkan AKB sebesar 24/1.000 kelahiran hidup dan AKN 15/1.000 kelahiran hidup. Upaya pelaksanaan penanganan bayi muda dimulai dengan memberikan pelatihan MTBM kepada para bidan desa. Karena sangat penting pelatihan MTBM bagi peningkatan kinerja bidan dalam melaksanakan kunjungan neonatal sesuai pedoman MTBM. Angka kematian bayi di Kabupaten Kudus pada tahun 2009 adalah 5,88/1000 kelahiran hidup, dari jumlah tersebut 80,2% kasus kematian terjadi pada periode neonatal. Tahun 2010 angka kematian bayi sebesar 6,39/1000 kelahiran hidup, dari jumlah tersebut 87,6% kasus kematian terjadi pada periode neonatal. Pada tahun 2011 angka kematian bayi sebesar 6,71/1000 kelahiran hidup, dari jumlah tersebut 78,43% terjadi pada periode neonatal. Tujuan penulisan adalah untuk menganalisis perbedaan kinerja bidan desa yang sudah dilatih dan belum dilatih tentang manajemen terpadu bayi muda dalam penatalaksanaan kunjungan neonatal di Kabupaten Kudus tahun 2011.Metode : Jenis penelitian survey dengan pendekatan cross sectional. Subyek penelitian adalah bidan desa yang sudah dilatih MTBM dan yang belum dilatih MTBM masing-masing sebanyak 35 orang. Data dikumpulkan dengan wawancara. Data yang telah terkumpul dianalisis dengan uji independent samples test.Hasil penelitian : Ada perbedaan kinerja bidan yang sudah dan belum dilatih manajemen terpadu bayi muda (MTBM) dalam penatalaksanaan kunjungan neonatal di Kabupaten Kudus tahun 2011 (p : 0,047) dengan selisih mean = 5,97. Dari aspek kualitas ada perbedaan kinerja bidan desa yang sudah dilatih dan belum dilatih (p:0,000) dengan selisin mean = 8,12. Dari aspek kuantitas (p : 892), ketepatan waktu/timeliness (p : 0,728), efektifitas sumberdaya/cost effectiveness (p:0,981), pengawasan/ kebutuhan akan supervisi (p:0,324), dan hubungan interpersonal (p:0,680).Simpulan : Ada perbedaan kinerja bidan desa yang sudah dan belum dilatih MTBM di Kabupaten Kudus tahun 2011. Bentuk pola pelatihan perlu diubah dari penyampaian materi, evaluasi dan praktik langsung dalam pelatihan sehingga pelatihan mampu meningkatkan semua kriteria evaluasi kinerja bidan desa dalam kunjungan neonatal.Background: Infant mortality rate (AKB) in 2010 was 24/1000 live-births, and neonates mortality rate was 15/1000 live-births. Implementation of neonatal management was started by giving training on neonatal integrated management (MTBM) to village midwives. This MTBM was important to improve work performance of midwives in the implementation of neonatal visit according to MTBM guideline. Infant mortality rates in Kudus district in 2009 was 5.88/1000 live-births, and 80.2% of infant deaths occurred in the neonatal period. Infant mortality rates in 2010 was 6.39/1000 live-births, and 87.6% of infant deaths occurred in the neonatal period. Infant mortality rates in 2011 was 6.71/1000 live-births, and 78.43% of infant deaths occurred in the neonatal period. Objective of this study was to analyze the difference between trained and untrained village midwives on neonatal integrated management in the management of neonatal visit in Kudus district, 2011.Method: This was a study using survey method and cross sectional approach. Study subjects were trained and untrained village midwives on MTBM. Each group of midwives consisted of 35 midwives. Data were collected through interview. Independent samples t-test was applied in the data analysis.Results: There was a work performance difference between trained and untrained midwives on MTBM in the management of neonatal visit in Kudus district in 2011 (p: 0.047) with a mean difference of 5.97. Quality aspect: there was a work performance difference between trained and untrained village midwives on MTBM (p: 0.000) with a mean difference of 8.12. Quantity aspect (p: 0.892), timeliness (p: 0.728), cost effectiveness (p: 0.981), supervision (p: 0.324), and interpersonal relationship (p: 0.680). Conclusion: There was a work performance difference between trained and untrained village midwives on MTBM in Kudus district in 2011. Modification for training pattern such as teaching method, evaluation, and field practice is needed. Therefore, the training will increase the points of all evaluation criteria for work performance of village midwives in conducting neonatal visit.

Implementation ff Midwive-Traditional Birth Attendants Partnership by Midwives in Buton District, Southeast Sulawesi, (A Case Study on Wakaokili Primary Healthcare Center) Hermawati Hermawati; Tjahjono Kuntjoro; Ayun Sriatmi
Jurnal Manajemen Kesehatan Indonesia Vol 1, No 1 (2013): April 2013
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Terbatasnya pemahaman pentingnya persalinan Nakes terlatih menjadikan dukun sebagai pilihan penolong persalinan, disamping faktor sosial ekonomi, budaya, dan kinerja bidan, yang berdampak peningkatan AKI di Kabupaten Buton. Cakupan persalinan oleh tenaga kesehatan masih rendah, ditandai rendahnya jumlah dukun bermitra dan rendahnya rujukankehamilan dan rujukan persalinan dukun di Puskesmas Wakaokili. Inilah cermin Program Kemitraan Bidan-Dukun oleh Bidan Desa di Puskesmas Wakaokili. Jenis penelitian deskriptif kualitatif. Pengumpulan data dengan wawancara mendalam pada 4 bidan desa dan 9 dukun bersalin sebagai informan utama. Data dianalisis menggunakan metode content analysis. Penelitian menunjukkan tujuan dan indikator keberhasilan program kurang dipahami, tidak ada aturan tertulis, tidak ada SOP dan pencatatan khusus kemitraan bidan-dukun. Diseminasi program bersifat pengenalan, pelaporan tidak didiskusikan. Pembinaan dan magang dukuntidak ada. Sikap pelaksana terhadap kemitraan cenderung mendua dan sumber daya kurang mendukung. Terbukti lingkungan ekonomi, sosial dan politik mempengaruhi keberhasilan program.Kata Kunci : Puskesmas, Program Kemitraan Bidan-Dukun .The limited knowledge on the importance of health workers deliveries, together with some other factors such as economies, social and culture, made traditional birth attendants became a choice of delivery services. This condition resulted in the increase of Maternal MortalityRate in Buton District. The coverage of health workers deliveries in Wakaokili was still low. It was marked by the low rate of traditional birth attendance-midwives’ partnership and deliveries referral to the midwives, as well as high rates of traditional birth attendancedeliveries. This study was a descriptive qualitative study. Data were collected by in depth interviews on 4 village midwives and 9 traditional birth attendants as the main informants. Data were analyzed by content analysis method. Results showed that the goals and program success indicators were not understood well. Dissemination was only an introduction and the report was not discussed. There was no coaching or internship program. The attitude tended to be ambivalent and the resources were not supportive. It is proven that economic, social and political environment influence the program results.

Evaluation on Drug Planning for Basic Health Services at Pharmaceutical Warehouses of Gunung Mas District, Central Kalimantan Margaretha Triana; Chriswardani Suryawati; Ayun Sriatmi
Jurnal Manajemen Kesehatan Indonesia Vol 2, No 1 (2014): April 2014
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

AbsrakPerencanaan merupakan kegiatan menetapkan jenis dan jumlah obat sesuai kebutuhan. Perencanaan lemah ditandai terjadinya kekosongan atau penumpukan obat. Pada perencanaan obat di Gudang Farmasi Kabupaten Gunung Mas menggunakan data kurang akurat dan terjadi kesenjangan tingkat ketepatan perencanaan obat serta tingkat ketersediaan obat dari ketentuan. Tujuan penelitian adalah melakukan evaluasi terhadap perencanaan obat di GFK Gunung Mas dilihat dari kemampuan petugas dalam merencanakan obat dan kepatuhan petugas GFK menjalankan pedoman perencanaan obat.Jenis penelitian adalah deskriptive. Variabel penelitian yaitu 1) kemampuan petugas dilihat dari pendidikan, pengetahuan, beban kerja, pelatihan serta supervisi. 2) Kepatuhan petugas menjalankan pedoman perencanaan obat. Informan utama adalah Kepala GFK dan dua petugas GFK. Data diperoleh dengan wawancara mendalam dan observasi, Pengolahan data dengan metode analisis isi.Hasil penelitian bahwa perencanaan obat di GFK Gunung Mas belum berjalan baik, hal ini disebabkan karena belum didukung kemampuan petugas yang memadai serta kepatuhan petugas rendah dalam menjalankan pedoman perencanaan. Pendidikan petugas memenuhi ketentuan yaitu pendidikan kefarmasian, sebagian besar pengetahuan petugas sebatas definisi dan kriteria obat, beban kerja petugas GFK berlebihan. Semua petugas belum mendapatkan pelatihan perencanaan obat, supervisi belum dilakukan secara berkala oleh atasan, kepatuhan petugas terhadap pedoman perencanaan obat rendah.Saran kepada Dinas Kesehatan adalah pelatihan teknis perencanaan Obat Terpadu, meningkatkan supervisi secara berkala kepada petugas GFK. Saran kepada GFK Gunung Mas adalah membuat Standart Operating Procedure (SOP) perencanaan obat, melakukan perhitungan obat dengan benar,melakukan analisis ABC/VEN. AbstractPlanning was an activity to determine type and amount of drugs according to the need. Weak planning was indicated by no stored drugs or drugs accumulation in the storage. Drug planning in Gunung Mas district pharmacy storage (GFK) was based on inaccurate data; therefore, distortion in the drug planning precision and in the level of drug availability occurred. Objective of this study was to evaluate drug planning at GFK Gunung Mas based on the obedience of GFK workers in implementing drug planning guideline. This was a descriptive study. Study variables were 1) ability of workers that was based on their education, workload, training, and supervision; 2) obedience of workers in implementing drug planning guideline. Main informants were the head of GFK and two GFK workers. Data were collected by conducting in-depth interview and observation. Content analysis was applied in the data management.Results of the study showed that drug planning at GFK Gunung Mas was inadequate. This was caused by insufficient number of workers with adequate abilities, and the obedience of workers in implementing planning guideline was insufficient. Workers’ education level was suitable with the requirement namely pharmaceutical school. Majority of workers’ knowledge was limited to definition and drug criteria; majority of GFK workers’ workload was overload. All workers did not get training on drug planning. Supervision by their superior was not done periodically. Obedience of workers to drug planning guideline was insufficient.Suggestions for district health office are to conduct training on integrated drug planning technique, to improve periodic supervision to GFK workers. Suggestions to GFK Gunung Mas are to formulate standard operating procedure for drug planning, to do right drug calculation, to do ABC/ VEN analysis.

DETERMINANTS OF THE QUALITY OF PHARMACY SERVICES IN HOSPITAL DURING PANDEMIC COVID-19 Arie Sulistiyoningrum; Ayun Sriatmi; Septo Pawelas Arso
Dentino : Jurnal Kedokteran Gigi Vol 7, No 1 (2022)
Publisher : FKG Unlam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/dentino.v7i1.13113

Background. Hospitals are individual health service facilities that are part of health resources in order to support the implementation of health efforts, one of which is pharmacy services. During pandemic covid-19, all hospitals must continue to provide service to patients, according to technical instructions, including Aisyiyah Kudus Hospital. The quality of service is determined by various factors, including perception of hospital, facilities, policies and competencies. Purpose. This study aims to analyse factors that affect quality of pharmaceutical services in the outpatient pharmacy installation of Aisyiyah Kudus Hospital. Methods. This study was a quantitative study with cross sectional design, population in this study were outpatients who received pharmacy services at Aisyiyah Kudus Hospital with sample size of 98 respondents. Sampling technique in this study was accidental sampling. Data were analysed by using Chi-Square test and Logistic Regression. Results. The result shows that there is a significant relationship between perceptions of hospital, infrastructure, officer competence and policies with service quality with p value 0.000, in a regression analysis show that there is a very strong influence of independent variables on the dependent variable. Conclusion. There is a significant relationship between perceptions of hospital, infrastructure, officer competence and policies with service quality. Hospital management needs to provide soft skill training for all officers in supporting the improvement of services to patients

Dapatkah Kelas Ibu Hamil Model Virtual Meningkatkan Praktik Pencegahan Risiko Tinggi Kehamilan ? Ayun Sriatmi; Sri Suwitri; Zahroh Shaluhiyah; Sri Achadi Nugraheni
Media Penelitian dan Pengembangan Kesehatan Vol 30 No 1 (2020)
Publisher : Sekretariat Badan Penelitian dan Pengembangan Kesehatan

Abstract The inability of pregnant women to identify and recognize danger signs of pregnancy indicates the lack of knowledge, attitudes and perceptions of mothers about healthy pregnancies which has an impact on the low practices of prevention of high risk of pregnancy. Pregnant Women Class Program (KIH) which is held is not optimal because of the low presence of pregnant women for various reasons. The aim of study to determine the effect of the KIH-Virtual model on the practice of preventing high risk of pregnancy. This is a quasi-experimental study with case-control approach. The population is pregnant women in Semarang City. The total sample was 60 mothers for the intervention group and 61 mothers for control group. The independent variable is KIH-Virtual intervention and dependent variable is the practice of preventing high risk pregnancy (covering 7 dimensions). Data collection through interviews and observations with four times measurements (pretest, posttest 1,2,3). Partial analysis using independent-T test and Paired test. Simultaneous analysis with Linear-Mixed-Model. Statistically, there were differences in the practice of preventing high risk pregnancy between intervention groups and control at the last measurement (p<0.05). Although both groups experienced an increase in scores at each measurement stage, it was evident in the intervention group that the increase was higher for all dimensions of practice. The highest increase in the effect of interventions on communication and collaboration practices was followed by health status monitoring practices. Daily self-care practices and lifestyle practices are the dimensions with the lowest intervention effect. Virtual-KIH influences the practice of pregnant women in the prevention of high risk of pregnancy and is able to improve the practice better than conventional models that have been underway. Abstrak Ketidakmampuan ibu hamil mengidentifikasi dan mengenali tanda bahaya kehamilan mengindikasikan rendahnya pengetahuan, sikap dan persepsi ibu tentang kehamilan sehat, yang berdampak pada rendahnya praktik pencegahan risiko tinggi kehamilan. Program Kelas Ibu Hamil (KIH) yang diselenggarakan belum optimal karena terkendala rendahnya kehadiran ibu hamil dengan berbagai alasannya. Tujuan penelitian menganalisis pengaruh model KIH Virtual terhadap praktik pencegahan risiko tinggi kehamilan. Penelitian ini merupakan penelitian quasi experimental dengan pendekatan kasus-kontrol. Populasi adalah ibu hamil di Kota Semarang. Jumlah sampel 60 ibu untuk kelompok intervensi dan 61 ibu untuk kelompok kontrol. Variabel bebas yaitu intervensi KIH Virtual dan variabel terikatnya yaitu praktik pencegahan risiko tinggi kehamilan (meliputi 7 dimensi). Pengumpulan data melalui wawancara dan observasi dengan 4 kali pengukuran (pretest, posttest-1,2,3). Analisis parsial menggunakan uji beda independen dan berpasangan. Analisis simultan dengan Linear-Mixed-Model. Secara statistik ada perbedaan praktik pencegahan risiko tinggi kehamilan antara kelompok intervensi dengan kontrol pada pengukuran terakhir (p<0,05). Meski kedua kelompok mengalami peningkatan skor pada setiap tahap pengukuran, namun terbukti pada kelompok intervensi peningkatannya lebih tinggi untuk semua dimensi praktik. Peningkatan tertinggi efek intervensi pada praktik komunikasi dan kerjasama, diikuti praktik pemantauan status kesehatan. Praktik perawatan diri sehari-hari dan praktik gaya hidup merupakan dimensi praktik dengan efek intervensi terendah. KIH Virtual memengaruhi praktik ibu hamil dalam pencegahan risiko tinggi kehamilan dan mampu meningkatkan praktik tersebut dengan lebih baik dibandingkan model konvensional yang selama ini berlangsung.

KESIAPAN AKREDITASI KLINIK PRATAMA DALAM MENINGKATKAN MUTU PELAYANAN KESEHATAN Melinda Novitasari; Rani Tiyas Budiyanti; Ayun Sriatmi
Jurnal LINK Vol 18, No 1 (2022): MEI 2022
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Akreditasi merupakan penilaian fasilitas kesehatan oleh Komisi Akreditasi agar fasilitas kesehatan dapat memberikan pelayanan yang berkualitas sesuai standar. Belum dilakukanya akreditasi berdampak pada mutu kinerja Klinik Pratama, kepuasan pasien, kualitas SDM, keamanan SDM dan keberlanjutan kerjasama antara Klinik Pratama dengan BPJS. Penelitian ini bertujuan untuk menganalisis kesiapan Klinik Pratama dalam menghadapi akreditasi di Kapubaten Cirebon dan faktor–faktor yang mempengaruhinya menggunakan metode kualitatif – deskriptif. Pengambilan data dilakukan melalui wawancara mendalam kepada subjek yang dipilih menggunakan teknik purposive sampling. Berdasarkan hasil penelitian, Klinik Pratama di Kabupaten Cirebon belum membentuk tim akreditasi, dikarenakan pengetahuan SDM terkait persiapan akreditasi masih minim dan belum memiliki pedoman akreditasi. Akibatnya, perencanaan administratif manajemen akreditasi belum dilakukan. Selain itu, anggaran akreditasi masih dialokasikan untuk pemenuhan fasilitas yang menyebabkan alokasi anggaran pada akreditasi tidak maksimal. Berdasarkan hal tersebut, Klinik Pratama di Kabupaten Cirebon belum siap menghadapi akreditasi karena terkendala persiapan akreditasi pada faktor standar dan tujuan kebijakan, sumber daya, komunikasi, karakteristik lembaga pelaksana, dan dukungan dinas kesehatan yang belum optimal.

PENATALAKSANAAN HIPERTENSI PADA ERA ADAPTASI KEBIASAAN BARU Amalia Shabrina Fitri; Ayun Sriatmi; Nurhasmadiar Nandini
Jurnal LINK Vol 17, No 2 (2021): NOVEMBER 2021
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Pandemi COVID−19 mengakibatkan capaian kinerja pelayanan kesehatan menurun, salah satunya adalah capaian pelayanan hipertensi. Puskesmas Mlati II merupakan puskesmas yang mengalami penurunan capaian pelayanan hipertensi secara drastis hingga 21,10%. Untuk menjaga kesinambungan upaya kesehatan, puskesmas melakukan adaptasi mekanisme pelayanan. Namun dalam pelaksanaanya puskesmas masih menghadapi banyak keterbatasan sehingga hasilnya belum optimal. Berdasarkan hal tersebut, tujuan utama dari penelitian ini adalah untuk mengetahui bagaimana pelaksanaan pelayanan hipertensi pada era adaptasi kebiasaan baru dengan menganalisis aspek input dan proses. Penelitian ini merupakan penelitian kualitatif dengan pendekatan deskriptif. Metode penelitian dilakukan dengan wawancara kepada subjek penelitian. Hasil penelitian menunjukkan bahwa pada aspek input ditemukan kader belum memiliki pedoman pelaksanaan deteksi dini di masa adaptasi kebiasaan baru, kurangnya tenaga perawat dan jumlah thermo gun, tidak adanya media edukasi di puskesmas, dan penggunaan dana yang belum terserap dengan baik. Pada aspek proses menunjukkan bahwa deteksi dini pada era adaptasi kebiasaan baru terhambat karena pelaksanaan posbindu terhenti sementara, serta adanya ketakutan masyarakat untuk melakukan pemeriksaan ke puskesmas. Pelayanan hipertensi yang dilakukan oleh puskesmas pada era adaptasi kebiasaan baru belum optimal dikarenakan masih adanya kendala pada aspek input dan proses.

DETERMINANTS OF MOTHERS’ PARTICIPATION IN ANTENATAL CLASSES Sutopo Patriajati; Ayun Sriatmi
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 7 No. 2 (2019)
Publisher : Universitas Airlangga

Background: As a form of health promotion, Antenatal Education (AE) class is expected to improve the knowledge, attitudes, and practices of mothers facing their pregnancy. Access to antenatal classes for mothers has not been optimal because of the low level of participation. Not all mothers are willing to join antenatal classes for various reasons.Aim: This study aimed at analyzing the determinant factors that influence the mother’s participation in antenatal classes.Method: This study was a quantitative study with a cross-sectional approach. The population was all pregnant women in Semarang City with 140 pregnant mothers as samples from 3 Primary Healthcare Centers including Rowosari, Purwoyoso, and Gayamsari which were selected by using a purposive sampling technique. Data were collected through an interview using a structured questionnaire.Results: The findings showed that only 54.3% of mothers attended the antenatal classes. Knowledge, support from health personnel, facilities, and infrastructure, as well as a history of illness and pregnancy, affect mothers’ participation in antenatal classes where the support of health workers had the most dominant influence (OR 5.394). The overall influence was 39.2%.Conclusion: The low mothers’ participation in antenatal classes was influenced by the lack of knowledge and support, inadequate facilities as well as the low health status of mothers. Further socialization and engagement across related sectors with strong networking are needed to solve this problem.Keywords: antenatal education, participation, primary healthcare center.

Implementasi Program Pengendalian Demam Berdarah Dengue di Kabupaten Donggala Sulawesi Tengah Tahun 2014 (Studi Kasus di Puskesmas Wani dan Puskesmas Labuan) Aryani Pujiyanti; Anggi Septia Irawan; Wiwik Trapsilowati; Diana Andriyani Pratamawati; Ayun Sriatmi
BALABA: JURNAL LITBANG PENGENDALIAN PENYAKIT BERSUMBER BINATANG BANJARNEGARA Volume 16 Nomor 1 Juni 2020
Publisher : Balai Penelitian dan Pengembangan Kesehatan Banjarnegara Badan Litbangkes Kemenkes RI

The Donggala District Government has made efforts to control Dengue Hemorrhagic Fever (DHF), however based on the number of cases, and free larvae rates, DHF is still a public health threat in this area. The study aimed to evaluate the implementation of DHF control program in Donggala Regency. This was an evaluative descriptive qualitative research with a case study design. Research location in Donggala Regency, Central Sulawesi Province. Data was collected from September to October 2014 using a purposive sampling technique. Data validity carried out by source triangulation while data analysis was conducted by manually using content analysis. The informants were 10 persons from DHF control program staffs. Data was collected using in-depth interviews and document studies. The results showed that the budjet allocation on implementation of the DHF control program was lower than other infectious diseases. Cross-program collaboration has been carried out properly, however It is required more cross-sector collaboration for mosquito control program activities. From the output of program, the incidence rate (IR) of Donggala Regency was lower than IR of Central Sulawesi Province. Both Primary Health Care with low and high cases turn to have free larva index below 95% and those values tend to decrease in 2011-2012. Donggala District Health Office should increase the health promotion of DHF control through cross-sector collaboration and community to seek more awareness to the risks of transmission and improve dengue prevention.

Faktor yang Berhubungan dengan Praktik Manajemen Terpadu Bayi Muda oleh Gasurkes KIA di Kota Semarang Sinta Wati; Apoina Kartini; Martini Martini; Ayun Sriatmi
Jurnal Epidemiologi Kesehatan Komunitas Vol 6, No 1: Februari 2021
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v6i1.9048

Background: The main causes of neonatal deaths in Semarang city were low birth weight (LBW) approximately 38%, birth asphyxia (23%), congenital defect (8%), infections such as sepsis (3%), jaundice (3%), and others (25%). The most common causes of mortality were considered preventable and treatable at an affordable, easily-to-implement, and efficient through integrated management of young infants (IMYI) performed during neonatal visits. It has previously been observed that IMYI has contributed to reducing the neonatal mortality rate by 30-60%. This study aims to investigate the factors that determine the integrated management of young infants carried by maternal and perinatal death surveillance and response (MPDSR) workers in Semarang city.Methods: Quantitative research designs were adopted to provide the correlation between independent variables and dependent variables using statistical hypothesis testing. A cross-sectional approach was utilized to collect the data, both independent dan dependent variables simultaneously. The data were analyzed using chi-square, Fisher exact test, and logistic regression.Results: The result suggests that knowledge, work period, attitude, workload, recording system, supervision had an association toward the practice of IMYI conducted by MPDSR workers in Semarang City. No significant correlation was found on the availability of tools and appraisal toward the practice of IMYI. Work periods was the most dominant factor affecting IMYI practice.Conclusion: these results indicate that knowledge, work period, attitude, workload, recording system, supervision has an important role to increase the practice of IMYI performed by maternal and perinatal death surveillance and response (MPDSR) workers in Semarang city.

Co-Authors - Rudiansyah Ade Kurniasari Adi Nugroho Adi, Mateus S. Adilah, Annida Nur Aditya Kusumawati, Aditya Adriana Egam Adriana Palimbo afiyah hidayati Agushybana , Farid Ahmad Saroni Aina, Sitta Nur Ajeng Retno Yunita Albrina Roza Rezkillah Alifa Rizqia Rachmawati Alimah, Ulya Alvira Putri Calista Amalia Ninggar Amalia Shabrina Fitri Ana Puji Astuti Ana Pujianti Harahap Ananda Suryo Adi Prayogo Anastasia Wulandari Andini Aridewi ANDRI PURNOMO Anggi Septia Irawan Anjelika, Ratna Anneke Suparwati Anneke Suparwati ANNISA RAHMAWATI Antonia Novika Siswati Antono Surjoputro Antono Suryoputro Antono Suryoputro Apoina Kartini Apriliana Susilowati, Apriliana Arie Sulistiyoningrum Arie Sulistiyoningrum Arina Noor Eka Rachmawati Arinta Riza Andriani Arista, Herlin Ika Yuni Arman Wokas Armunanto, Armunanto Arnia Dian Kusuma Devi Arsita, Alma Nofia Mega Arum Prihatiningsih Arum Rohana Aryani Pujiyanti Asfiya, Nissa Atul Asih Dwi Astuti Astuti, Eka Kristia Ayu Atik Mawarni Atik Mawarni Aulia Nur Hidayati Bagoes Widjanarko Bahtiar Bahtiar Bina Kurniawan Bintang Agustina Pratiwi BUDIYONO Budiyono Budiyono Budiyono Budiyono Cahya Tri Purnami Cahya Tri Purnami Cahya Tri Purnami, Cahya Cahyaningsari, Brillian Ayu Camellia, Arta Celica Triulfah Maharani Chairunnisa Putri, Nabilla Cicilia Ninik S Desyana Indira Putri Deviana, Dika Deviani Saskia Putri Dewi Susilowati Dewi, Bella Rossana Dewi, Fitriana Tungga Dian Hasanah Ramli Dian Widyahandayani Diana Andriyani Pratamawati Dianti Oktadevi Dianti Oktadevi Didik Ariwibowo Djati, Isti Sulistyana Dwi Ayu Tirtaningrum Edy Dwi Purwanto Eka Kristia Ayu Astuti Eka Yunila Fatmasari Eka Yunila Fatmasari Eka Yunila Fatmasari, Eka Yunila Elisabeth Samaran Elzina De Fretes Emi Widiarti Cahyati Emy Shinta Dewi Erlin Friska Erliyani, Novi Fachrudin, Nur Millati Hanifah Falentine Lidya Telussa Fara Aulia Oktaviani Farid Agushybana Farid Agushybana Farid Farid Agushybana Fatmasari, Yunila Fatwa Firdhaus, Oki Ino Feby Rahmawati, Feby Firdhaus, Oki Ino Fatwa Firdiah, Mutia Rizqa Firmansyah Kholiq Pradana PH Friska, Erlin Hamida H. Siregar Handayani, Novia Handayani, Novia Hapsari, Kanya Harahap, Ana P. Harahap, Ana Pujianti Hardi Warsono Hardiyanti, Tutut Okta Hartini Hartini Hartono Hartono Henry Setyawan Susanto Henry Setyawan Susanto Henry Setyawan Susanto Hermawati Hermawati Husnan Khair, Muhammad Dyas I Nyoman Agus Suarya Putra INDAH KURNIAWATI Indana Aziza Putri Inna Maulina Insani, Rachel Ivonieta Intan Rahayu Utami, Intan Rahayu Ira Yusnita Irana Eka Wardana Irmawati Irmawati Isti Sulistyana Djati Iwamizu, Yuko Iwan Yunianto Jauhanita, Denisa Jhovia Aloedya Pramana Joyo Minardo Juli Mrihardjono Karimah, Nadzar Akhlaqul Karyono Karyono Khalishah, Jihan Nurul Qamariah Khasna Fikriya Krisnamurti Krisnamurti Kunsianah Kunsianah Laily Maghfira Noor Ridarsyah Laksmono Widagdo Lathifah Safaatul Uzhma Lestari, Marselli Widya Lina Dwi Yoga Pramana Linda Ismawati Lisnia Sari Lolita Indah Pradini Lucia Ratna Kartika Wulan M. Abdurrahman Shidiq Mabrukah, Aina Mahalul Azam Manurung, Togar Hasudungan Margaretha Inadyas Verganza Margaretha Triana Martha Irene K Martha Irene Kartasurya MARTINI Martini Martini Mateus Sakundarno Adi, Mateus Sakundarno Maynisa Puspita Kusuma Wardani Mela Nofitri Melinda Novitasari Meytri Saraswati Miftahul Mualimah Mohamad Endy Y Yulianto Mohd Ridwan Muhammad Dyas Husnan Khair Mumpuni Sari Kusumastuti Musdalifah Nor Amini Muslimah Muslimah Mustofa, Syamsulhuda Budhi Mya Rosiana Naintina Lisnawati Nikie Astorina Yunita Dewanti Nikie Astorina Yunita Dewanti Nikie Astorina Yunita Dewanti Nikie Astorina Yunita Dewanti Nila Nafisatul Izzah Ninik S, Cicilia Nirwesti, Wahyu NOVA LISTIANA Nur Endah Wahyuningsih Nur Khafidhoh, Nur Nur Laili Agustin Nur Setiawati Dewi Nurfrida Pratomo Putri Nurhasmadiar Nandini Nurhasmadiar Nandini Nuridzin, Dion Zein Nurjazuli Nurjazuli Nurrachma, Adennisa Yunitasari Okta Hardiyanti, Tutut Oktadevi, Dianti Pangestika, Windiana Wahyu Paramita, Nadinda Maretta Diah Peetosutan, Kenny Petosutan, Kenny Pramono Apriawan Wijayanto Pramono Apriawan Wijayanto Pratiwi , Setyo Endah Pratiwi, Setyo Endah Prihatiningsih, Arum Prisma Armaya Puji Hastuti PUJI LESTARI Pujianti Harahap, Ana Purnami, Cahya T. Puteri Inandin Nabiha Putri Asmita Wigati Putri Asmita Wigati Putri, Nabilla Chairunnisa Rahfiluddin, Mohammad Zen Rani Tiyas Budiyanti Ratna Nur Pujiastuti Retno Hestiningsih Retno Mariani Reza Fadly, Teuku Rezkillah, Albrina Roza Rida Krita Imaroh Rika Rejeki Rini Oktaviani Handayani Risa Rahayu Risa Septi Astutik Risa Tri Anggraeni Riski Malimpa Rizani Shofi RIZCARACHMAKURNIA, NAFIZTA Rizka Laila Rachmawati Ronald Mahudin Rosalinda Trajuningtyas Rosmala Kurnia Dewi Rosmila Tuharea S.A. Nugraheni Sabrilla Putri Gotama Santosa, Damai Saputro, Wisnu Adhi Sari Ningsih Sari Ningsih Sasi, Erlina Nawang Seno Darmanto Seno Darmanto Septo Pawelas Arso Setyaningrum, Dian Setyo Endah Pratiwi Sinta Wati Siti Alfani Siti Alfani Soffiyani, Nisa Sokhiyatun Sokhiyatun Sri Achadi Nugraheni SRI RAHAYU Sri Rulihari Sri Suwitri Sri Widuri R.U. Jatiputri Sri Widuri Retnoningrum Utami Jatiputri Sri Winarni Sri Yuliawati Suhartono Suhartono Suhartono, Suhartono Sulastri Sulastri SULISTIYANI SULISTIYANI Surjoputro, Antono Sutopo Patria Jati Syahidah, Putri Nadya Syamsulhuda BM Tianto, Albert Tiar, Mareta Adya Tio Dora Ultaria S. Tjahjono Kuntjoro Tjahjono Kuntjoro Togar H Manurung Togar Hasudungan Manurung Togar Hasudungan Manurung Trianita Eka Pamundhi Tungga Dewi, Christin Hiyana Tunggal, Indayah Dewi Unzila, Erliana Ustriyaningsih, Ustriyaningsih Viona Febya Pangestika Vivin Fitria Anggraeni WATI, DEWI KUSUMA Wibowo, Dony Kurniadi Widyaputri, Anak Agung Ayu Wanda Wijayanto, Pramono Apriawan Wiranti Wiranti Wiwid Novitaria Wiwik Trapsilowati Wulan Kusumastuti Wulan Kusumastuti Wulan Kusumastuti Yokbeth Kareth Youke A. Supit Yulfiana Yulfiana, Yulfiana Yuliati, Erni Yuniarto Yuniarto, Yuniarto Zahroh Shaluhiyah

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