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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.
Primary Healthcare Providers' Knowledge on the Early Detection of Biliary Atresia Rendi Aji Prihaningtyas; Bagus Setyoboedi; Ni Nyoman Metriani Nesa; Melinda Masturina; Martono Tri Utomo; Sjamsul Arief
Folia Medica Indonesiana Vol. 60 No. 1 (2024): March
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmi.v60i1.48446

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.   AbstractPrimary 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.  
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
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 Anindya Kusuma Winahyu Arinda Putri Auna Vanadia Aurelia Margaretha Manurung 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 Farahdina Farahdina Fasha Rudilla Putri Firyal Nadiah Rahmah Fitriana, Farida Gatut Hardianto, Gatut Hanik Badriyah Hidayati,* Mohammad Hasan Machfoed,* Kuntoro,** Soetojo,*** Budi Santoso,**** Suroto,***** Budi Utomo****** Harianto Notopuro Hartojo Hartojo, Hartojo Hasanah Nurbawena Hermanto Tri Joewono INDRA YULIATI, INDRA Irda Triyas Shanty Iswara, Salma 'Afindi Iwan S. Handoko Kartika Darma Handayani Lucyana Septia Pramita Luwes Sekar Ayu Wardhani Mahrus A Rahman, Mahrus A ManikRetno Wahyunitisari Melinda Masturina Mia Ratwita Andarsini Muhammad Miftahussurur Muhammad Reza Muhammad Reza Nabila Annisa Harum 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 Rachmat Hargono 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 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