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All Journal Jurnal Kesehatan Masyarakat Indonesia Indonesian Journal of Tropical and Infectious Disease Jurnal Ilmiah Kedokteran Wijaya Kusuma Majalah Kesehatan FKUB Jurnal Ilmiah Universitas Batanghari Jambi Syntax Literate: Jurnal Ilmiah Indonesia Journal of Maternal and Child Health Holistik Jurnal Kesehatan HOSPITAL MAJAPAHIT (JURNAL ILMIAH KESEHATAN POLITEKNIK KESEHATAN MAJAPAHIT) Oksitosin : Jurnal Ilmiah Kebidanan Biomolecular and Health Science Journal JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Jurnal Abdi Insani Pediomaternal Nursing Journal Jurnal Layanan Masyarakat (Journal of Public Service) Indian Journal of Forensic Medicine & Toxicology INDONESIAN MIDWIFERY HEALTH AND SCIENCES JOURNAL KESANS : International Journal of Health and Science Caring : Jurnal Pengabdian Masyarakat Hospital Majapahit : Jurnal Ilmiah Kesehatan Politeknik Kesehatan Mojokerto AKSONA Medika Respati : Jurnal Ilmiah Kesehatan Eduvest - Journal of Universal Studies Jurnal Widya Medika Folia Medica Indonesiana
Martono Tri Utomo
Departemen Ilmu Kesehatan Anak, Fakultas Kedokteran, Universitas Airlangga, Surabaya
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Factors Associated with Exclusive Breastfeeding Practice by Mothers who Work as Health Workers Iswara, Salma 'Afindi; Utomo, Martono Tri; Ningtyas, Woro Setia
Pediomaternal Nursing Journal Vol. 8 No. 2 (2022): VOLUME 8 NO 2 SEPTEMBER 2022
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/pmnj.v8i2.29448

Abstract

Introduction: Health workers play a notable role as "the significant others" in increasing maternal awareness and participation in fulfilling exclusive breastfeeding practices. In this case, female health workers tend to be the role models for other mothers in the community, including their child-feeding behavior. Based on the existing knowledge and work experience, female health workers should be able to breastfeed their babies exclusively. Yet several previous studies have shown the opposite result. This study aimed to analyze the factors associated with exclusive breastfeeding practice by mothers who work as health workers in Tulungagung Regency Public Health Centers. Methods: This study used a cross-sectional method. The sample in this study was 56 breastfeeding mothers who work as health workers in Tulungagung Regency Public Health Centers, selected by purposive sampling technique. Data were collected using a questionnaire and analyzed using the Chi-Square correlation test with a confidence limit of α=0.05. Results: Knowledge (p=0.091), attitude (p=0.094), and working shifts (p=0.185) did not correlate with exclusive breastfeeding practice. Husband's support (p=0.000) and family support (p=0.024) correlated significantly with exclusive breastfeeding practice. Conculusion: The breastfeeding mothers working as health workers who get a lot of support from their husbands and families tend to be confident to continue exclusively breastfeeding their babies despite returning to the workplace. The following researchers are expected to research other factors not examined in this study on a larger population and a more diverse health institution to determine how influential those factors are toward the exclusive breastfeeding practice.
Socialization of stool color card for early detection of biliary atresia among healthcare professionals in Primary Healthcare facilities in Probolinggo Setyoboedi, Bagus; Prihaningtyas, Rendi Aji; Utomo, Martono Tri; Akbas, Ahmad Maulana Ifan; Octariyandra, Syania Mega; Arief, Sjamsul
Caring: Jurnal Pengabdian Masyarakat Vol 4, No 3 (2024): CARING Jurnal Pengabdian Masyarakat (Desember 2024)
Publisher : Caring: Jurnal Pengabdian Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.caringjpm.2024.004.03.4

Abstract

AbstractBackground: Biliary Atresia (BA) is an idiopathic progressive fibro obliterative disease affecting the extrahepatic biliary duct with clinical manifestations of biliary obstruction in the neonatal period. Infants with BA are characterized with acholic stools which are frequently unidentified due to daily variations in stool color. Early detection is essential to reduce morbidity and mortality rates in infants with BA. Objective: This project aimed to improve the knowledge of health workers in primary health facilities in Probolinggo about BA through socialization of stool color cards as an early detection tool. Methods: Socialization was conducted to midwives in primary health facilities in Probolinggo with pre-test and post-test methods. Results: A total of 35 midwives participated in this activity. The evaluation showed a significant increase in health workers' understanding of biliary atresia. The average pre-test score was 83.82 and increased to 92.18 in the post-test with a p-value=0.00, indicating the effectiveness of counseling in improving health workers' knowledge. In addition, the implementation of the stool color card as an early detection tool received a positive response from the participants, who stated that the tool is easy to use and helps in identifying infants at risk of biliary atresia more accurately. Conclusion: The level of knowledge of health workers in primary health facilities regarding BA is still varied. Socialization of stool color cards may improve the understanding of health workers to accelerate early detection of cholestasis and improve the prognosis of infants with BA.
Ence Of ESBL Bacteria In Baby Box Handle At Dr. Soetomo Hospital Manik Retno Wahyunitisari; Martono Tri Utomo; Nicholas Fernando Purnomo
JURNAL WIDYA MEDIKA Vol. 6 No. 2 (2020): October
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v6i2.2789

Abstract

Health Associated Infection (HAI) in neonates can increase neonatal infection risk, which is a fairly frequent cause of neonatal death. Microorganisms that are quite often found to contaminate include gram-negative bacteria such as Escherichia coli and Klebsiella pneumoniae. Gram-negative bacteria are also quite often found to have resistance to antibiotic therapy that is usually given, especially actlactam, and will increase the degree of disease to mortality, this bacterium is called ESBL. The study was conducted to determine the level of ESBL bacterial contamination in health facilities at Dr. Soetomo general hospital. Swabs are taken and biochemical tests were done to identify pathogen species. These isolates were also tested for ESBL production by the double-disc synergy test (DDST). There were 30 samples that contaminate the handle of the baby box, 2 of which (6.67%) tested positive for ESBL. With good hand hygiene, the use of disinfectants in medical devices, floors, walls, and doors, maintenance and replacement of tap water filters, and regular monitoring can reduce the number of bacterial contamination.
THE CORRELATION BETWEEN APGAR SCORE AND GESTATIONAL AGE WITH NEONATAL SEPSIS AND ASSOCIATED MORTALITY Nabila Annisa Harum; Martono Tri Utomo; Aditiawarman -; Prastiya Indra Gunawan
JURNAL WIDYA MEDIKA Vol. 7 No. 2 (2021): October
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v7i2.3388

Abstract

Background: Neonatal sepsis is increasingly recognized as an important global health problem that challenges neonatal survival. In 2018, sepsis caused approximately 15% of all neonatal deaths worldwide. Recent data regarding preterm birth and low Apgar score as risk factors for neonatal sepsis-related death have not been reported in Indonesia. Methods: This was a case-control study conducted in Dr.Soetomo General Hospital. A case group was obtained from medical records by a total sampling of all neonates diagnosed with neonatal sepsis in 2019, and a control group of non-neonatal sepsis cases was taken by random sampling. Chi-square test and logistic regression were used to analyze the data. Results: Statistical analysis showed a significant correlation between one and five-minute Apgar score
Primary Healthcare Providers' Knowledge on the Early Detection of Biliary Atresia Prihaningtyas, Rendi Aji; Setyoboedi, Bagus; Nesa, Ni Nyoman Metriani; Masturina, Melinda; Utomo, Martono Tri; Arief, Sjamsul
Folia Medica Indonesiana Vol. 60, No. 1
Publisher : Folia Medica Indonesiana

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Highlights: 1. An evaluation is necessary to verify that the knowledge of healthcare providers is sufficient for the early detection of biliary atresia. 2. It is crucial to promote education on prolonged jaundice to ensure early detection of biliary atresia in primary health facilities, as some primary healthcare providers have insufficient knowledge on the subject. Abstract Primary healthcare providers frequently fail to recognize biliary atresia because it closely mimics physiological jaundice. Early detection plays an important role in ensuring the optimal treatment of biliary atresia. Delays in referring to biliary atresia cases remain a problem around the world. The objective of this study was to analyze the knowledge of primary healthcare providers regarding prolonged jaundice as an early sign of biliary atresia. A cross-sectional study was conducted at primary healthcare centers using a self-administered questionnaire. The data were analyzed descriptively with the assistance of IBM SPSS Statistics for Windows, version 21.0 (IBM Corp., Armonk, N.Y., USA). A total of 271 respondents participated in this study, including midwives (63.8%), nurses (24.4%), and medical doctors (8.5%). This study found that 73.8% of the respondents agreed that infants with prolonged jaundice need to undergo a serum bilirubin level assessment. However, 40.2% of the respondents believed that pale stools and dark urine in yellow infants were symptoms of physiological jaundice. Concerning the definition of prolonged jaundice, 209 (77.1%) respondents provided a response indicating more than two weeks. A total of 137 (50.6%) respondents stated that biliary atresia is a disease that must be ruled out first in cases of prolonged jaundice. Nevertheless, 86 (31.7%) and 87 (32.1%) respondents also mentioned that breastfeeding jaundice and breast milk jaundice must be considered as potential causes to be investigated. These results indicated that primary healthcare providers still had limited knowledge regarding cholestasis. Education on prolonged jaundice in primary healthcare centers should be more improved to enhance the early detection of biliary atresia.
INTERVENSI EDUKASI SINGKAT TENTANG ATRESIA BILIER PADA TENAGA KESEHATAN: BUKTI PENINGKATAN PENGETAHUAN DAN KESIAPAN SKRINING DENGAN KARTU WARNA TINJA Setyoboedi, Bagus; Prihaningtyas, Rendi Aji; Savitri, Yovani; Tri Utomo, Martono; Arief, Sjamsul
Jurnal Abdi Insani Vol 12 No 12 (2025): Jurnal Abdi Insani
Publisher : Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/abdiinsani.v12i12.3114

Abstract

Biliary atresia is the most common cause of neonatal cholestasis, characterized by prolonged jaundice, pale stools, and dark-colored urine. Early detection is crucial to prevent further liver damage. However, delayed diagnosis is still frequently encountered, mainly due to the lack of healthcare providers’ knowledge in recognizing the early signs of biliary atresia. This study aimed to determine the significance of a targeted health education intervention in improving knowledge of early detection of biliary atresia among healthcare providers. A quasi-experimental study was conducted at Padangan District General Hospital, Bojonegoro, East Java, using a pre-test/post-test questionnaire design. The health intervention consisted of education on biliary atresia and the introduction of the stool color card as an early detection tool, delivered by a Pediatric gastroenterologist and hepatologist. The Wilcoxon signed-rank test was performed with a significance level of p<0.05.A total of 101 respondents participated, predominantly female (88.1%), with the largest age group being 30–39 years (37.6%). Most respondents had more than five years of work experience (81.2%). The mean knowledge score significantly increased from 86.3 in the pre-test to 93.2 in the post-test (p < 0.001). Prior to the intervention, only 12.9% of respondents scored <70, whereas after the intervention nearly all participants (98%) scored >70. Knowledge regarding early symptoms of biliary atresia, the risks of delayed diagnosis, and the use of the Stool Color Card showed meaningful improvement on early detection of biliary atresia. A health education intervention is effective in improving healthcare providers’ knowledge of early detection of biliary atresia.
SOSIALISASI DAN PENGENALAN KARTU WARNA TINJA: STRATEGI PENINGKATAN PENGETAHUAN TENAGA KESEHATAN DALAM SKRINING ATRESIA BILIER Utomo, Martono Tri; Prihaningtyas, Rendi Aji; Savitri, Yovani; Setyoboedi, Bagus; Arief, Sjamsul
Jurnal Abdi Insani Vol 12 No 12 (2025): Jurnal Abdi Insani
Publisher : Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/abdiinsani.v12i12.3245

Abstract

Jaundice in newborns is a common condition, but it is important to distinguish between physiological and pathological forms. One of the main causes of pathological jaundice is cholestasis, with biliary atresia being the most frequent etiology. Biliary atresia is progressive and potentially fatal if treatment is delayed. Early detection is a key to successful therapy; however, limited knowledge among healthcare workers and inadequate screening tools contribute to delayed referrals. This study aimed to improve healthcare workers’ understanding of early detection of biliary atresia through education and introduction of stool color cards at RSUD dr. Sayidiman, Magetan. This study employed a quasi-experimental pre-test–post-test design involving 83 healthcare workers. Educational sessions were delivered by a pediatric gastrohepatology specialist, and participants completed questionnaires before (pre-test) and after (post-test) the intervention. Data were analyzed using the Wilcoxon signed-rank test to assess the improvement in knowledge scores, with statistical significance set at p < 0.05. A total of 83 participants took part, predominantly female (94%) with the largest age group being 30–39 years (43.4%). Most participants had more than 5 years of work experience (79.5%) and held a bachelor’s degree (55.4%). The mean knowledge score increased significantly from 90 in the pre-test to 95.3 in the post-test (p < 0.001). Socialization and introduction of stool color cards effectively improve healthcare workers’ knowledge regarding early detection of biliary atresia.
The Differences Of Cerebral, Abdominal, And Renal Oxygenation In Neonates With Hypothermia And Post-Rewarming Using Nirs At Dr. Soetomo Hospital Avianti, Dwi Lestari; Utomo, Martono Tri; Etika, Risa
Eduvest - Journal of Universal Studies Vol. 6 No. 1 (2026): Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v6i1.52128

Abstract

Background: Hypothermia significantly affects survival in neonates, as their thermoregulation is less effective than in older children and adults. Hypothermia can worsen metabolic processes, leading to hypoglycemia, hypoxia, and metabolic acidosis. Near infrared spectroscopy (NIRS) is useful for assessing regional tissue oxygenation (RSO2), providing insights into the oxygen supply and demand balance in vulnerable organs. Objective: This study aims to demonstrate differences in cerebral, abdominal, and renal tissue oxygenation in neonates under hypothermia and after rewarming using NIRS. Methods: An observational cross-sectional study was conducted from November 2019 to January 2020 at the NICU of Dr. Soetomo Surabaya Hospital. Neonates were divided into hypothermia, rewarming, and normothermic groups. NIRS assessments were performed during hypothermia and post-rewarming. Statistical analyses were conducted using paired t-tests or Wilcoxon tests for the hypothermia group, and independent t-tests or Mann-Whitney tests for comparisons between hypothermia and normothermic groups, with a significance level of p < 0.05. Results: A total of 106 neonates met the criteria: 51 in the hypothermia and rewarming group and 55 in the normothermic group. The average birth weight was 2261.96 ± 832.26 grams for the hypothermia group and 2009.09 ± 676.87 grams for the normothermic group. Significant differences were noted in heart rates and renal tissue oxygenation (RrSO2) between conditions, with p-values of 0.014 and 0.023, respectively. Conclusion: This study found significant differences in renal tissue oxygenation between hypothermic conditions and post-rewarming.
EDUCATION AND IMPLEMENTATION OF THE SUN FILTERED PHOTOTHERAPY AIRLANGGA BILIRUBIN SUN (AIRBILISUN) TO IMPROVE HEALTH WORKERS KNOWLEDGE ON THE MANAGEMENT OF NEONATAL JAUNDICE IN BANYUWANGI, EAST JAVA Sampurna, Mahendra Tri Arif; Zaidan, Andi Hamim; Husnina, Zida; Irwanto; Utomo, Martono Tri; Kusumastuti, Neurinda Permata; Avandi, Muhammad Irvan; Naznuddin, Muhammad; Ryandono, Muhammad Nafik Hadi; Rafsanjani, Egi Azhar; Azhari, Syah Reza Budi; Fannani, Achmad Rifqi; Quendangen, Valentinus Mahendra Aaron
Jurnal Layanan Masyarakat (Journal of Public Services) Vol. 10 No. 1 (2026): JURNAL LAYANAN MASYARAKAT
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Neonatal hyperbilirubinemia remains a common condition encountered in primary neonatal care, particularly in settings with limited access to standard phototherapy equipment. In Banyuwangi Regency, gaps in health workers’ knowledge and unequal availability of phototherapy devices contribute to suboptimal management practices, including unsafe reliance on uncontrolled sun exposure. This community service program aimed to strengthen health workers’ capacity in managing neonatal jaundice through education, training, and the implementation of an appropriate technology innovation, the Airlangga Bilirubin Sun (AirBiliSun). The program involved 30 health workers from hospitals and community health centers and was implemented through sequential stages of socialization, training, technology application, mentoring, and evaluation. Participants’ knowledge was assessed using pre-test and post-test questionnaires. Quantitative analysis demonstrated a significant improvement in knowledge following the intervention. The mean knowledge score increased from 58.88 ± 17.56 before the program to 73.77 ± 19.57 after the program. The proportion of participants with poor knowledge decreased from 26.7% to 3.3%, while those with good knowledge increased from 20.0% to 30.0%. Statistical testing confirmed that the improvement was significant (paired t-test, p < 0.001; Wilcoxon signed-rank test, p = 0.041). These findings indicate that combining structured education, hands-on training, and mentoring with the use of appropriate technology can improve health workers’ readiness to manage neonatal hyperbilirubinemia in resource-limited service settings. Institutional support from local government and national downstreaming initiatives further highlights the potential sustainability and replicability of the program. The AirBiliSun community service program demonstrates a practical approach to strengthening neonatal care services and promoting safer management practices in primary health facilities.
Co-Authors Abdurachman Abdurachman Adinda Juwita Syakila Elizafanti Aditiawarman Aditiawarman, Aditiawarman AGUS HARIANTO Agus Sulistyono Akbas, Ahmad Maulana Ifan Aldika Akbar, Muhammad Ilham Alexander Leonard Caesar Josediputra Andi Hamim Zaidan Anindya Kusuma Winahyu Arinda Putri Auna Vanadia Aurelia Margaretha Manurung Avandi, Muhammad Irvan Avianti, Dwi Lestari Azhari, Syah Reza Budi Azra Fauziyah Azyanti Bagus Setyoboedi Bintoro, Siprianus Ugroseno Yudho Devy Putri Zenita Dina Angelika Dyah Aisyah Rachmawatie Endy Novryan Ridwan Ernawati Ernawati Esti Isyroofanaa Esti Yunitasari Faizah, Zakiyatul Fannani, Achmad Rifqi Farahdina Farahdina Fasha Rudilla Putri Firyal Nadiah Rahmah Fitriana, Farida Gatut Hardianto, Gatut Harianto Notopuro Hartojo Hartojo, Hartojo Hasanah Nurbawena Hermanto Tri Joewono INDRA YULIATI, INDRA Irda Triyas Shanty IRWANTO Iswara, Salma 'Afindi Iwan S. Handoko Kartika Darma Handayani Lucyana Septia Pramita Luwes Sekar Ayu Wardhani Mahrus A Rahman, Mahrus A ManikRetno Wahyunitisari Masturina, Melinda Melinda Masturina Mia Ratwita Andarsini Mohammad Hasan Machfoed Muhamad Nafik Hadi Ryandono Muhammad Miftahussurur Muhammad Reza Muhammad Reza Nabila Annisa Harum Naznuddin, Muhammad Nesa, Ni Nyoman Metriani Neurinda Permata Kusumastuti Ni Nyoman Metriani Nesa Nicholas Fernando Purnomo Niken Kusumawardhani, Niken Octariyandra, Syania Mega Panada Sedianing Drastita Prastiya Indra Gunawan Prihaningtyas, Rendi Aji Primadita Syahbani Pudji Lestari Quendangen, Valentinus Mahendra Aaron Rachmat Hargono Rafsanjani, Egi Azhar Rendi Aji Prihaningtyas Rendi Aji Prihaningtyas Risa Etika, Risa Rize Budi Amalia Rohma, Annisa Nur Ruth A. Alexander Salsabila Hansa Kamal Sampurna, Mahendra Tri Arif Savitri, Yovani Sjamsul Arief Sjamsul Arief Sjamsul Arief, Sjamsul Sulistiawati Sulistiawati Sunny Mariana Samosir Talitha Y. Aden Ucik Nurul Hidayati Widati Fatmaningrum Woro Setia Ningtyas Yeni Riskawati Yustika Ayustira Karim Zida Husnina