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Determinant of Neonatal Visit Coverage Rate in Serdang Bedagai Regency North Sumatra Indonesia Novita Br Ginting Munthe; Rizanda Machmud; Rima Semiarty; Joserizal Serudji; Adang Bachtiar; Finny Fitry Yani; Denas Symond; Nelwati Nelwati
Jurnal Ilmu Kesehatan Masyarakat Vol. 15 No. 3 (2024): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2024.15.3.401-413

Abstract

Neonatal mortality is a leading cause of infant deaths, particularly in developing countries. In Serdang Bedagai Regency, the coverage of neonatal visits remains low, contributing to the high neonatal mortality rate and causing economic losses. This study aims to identify factors related to the neonatal visit coverage rate in Serdang Bedagai Regency, North Sumatra, Indonesia. This study used a cross-sectional design with multivariate analysis. Data were collected from 200 mothers with babies aged 0-28 days in five health centers in Serdang Bedagai Regency. The variables analyzed include age, education, economic status, knowledge, maternal attitudes, culture, family support, midwife attitudes, access to health facilities, and service quality. The data were analyzed using logistic regression. The results showed that the variables consistently and significantly affecting the increase in neonatal visit coverage were maternal education, knowledge about neonatal visits, local culture, husband/family support, and the quality of visit services. Factors that significantly contributed to increasing coverage of neonatal visits were maternal education (p-value = 0.004, OR = 14.285), maternal knowledge (p-value = 0.000, OR= 75.920), local culture (p-value = 0.000, OR = 57.105), husband/family support (p-value = 0.000, OR = 77.763), and service quality (p-value = 0.000, OR = 47.474). These factors have a major influence in supporting the success of the neonatal visit program, with maternal knowledge and family support being the most dominant factors.. Efforts to increase coverage should involve educating mothers, involving families, and enhancing services while considering local wisdom.
UPAYA PEMULIHAN KESEHATAN MENTAL PASCABENCANA BANJIR MELALUI SKRINING KESEHATAN MENTAL Rika Sarfika; Nelwati Nelwati; Fitra Yeni; Dewi Eka Putri; Esthika Ariany Maisa; Ira Erwina; Windy Freska; Randy Refnandes
JMM (Jurnal Masyarakat Mandiri) Vol 10, No 3 (2026): Juni
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v10i3.38837

Abstract

Abstrak: Bencana banjir berpotensi menimbulkan dampak psikologis pada masyarakat akibat tekanan lingkungan dan perubahan kondisi kehidupan pascabencana. Kegiatan pengabdian ini bertujuan mendukung pemulihan kesehatan mental masyarakat melalui skrining kesehatan mental. Metode yang digunakan meliputi skrining menggunakan instrumen PHQ-9, GAD-7, dan MMYS pada 28 masyarakat dewasa dan 2 remaja dengan mitra Puskesmas Pauh, disertai wawancara singkat dan edukasi kesehatan mental. Evaluasi dilakukan melalui analisis hasil skrining dan observasi partisipasi masyarakat. Hasil menunjukkan 50,0% masyarakat mengalami depresi ringan, 14,3% depresi sedang, dan 17,9% depresi berat. Selain itu, 48,1% masyarakat mengalami kecemasan ringan dan 40,7% kecemasan sedang, dengan tingkat partisipasi mencapai 100%. Skrining kesehatan mental efektif dalam deteksi dini dan meningkatkan kesadaran masyarakat pascabencana. Kegiatan berkelanjutan diperlukan untuk mendukung pemulihan kesehatan mental masyarakat. Abstract: Flood disasters can cause psychological impacts on communities due to environmental stress and changes in post-disaster living conditions. This community service activity aimed to support mental health recovery through mental health screening. The methods included screening using PHQ-9, GAD-7, and MMYS instruments among 28 adults and 2 adolescents in collaboration with the Pauh Public Health Center, accompanied by brief interviews and mental health education. Evaluation was conducted through analysis of screening results and observation of community participation. The results showed that 50.0% of participants experienced mild depression, 14.3% moderate depression, and 17.9% severe depression. In addition, 48.1% experienced mild anxiety and 40.7% moderate anxiety, with 100% participation rate. Mental health screening proved effective for early detection and increasing community awareness. Continuous programs are needed to support post-disaster mental health recovery.
Hubungan antara Dukungan Keluarga dengan Kepatuhan Konsumsi Tablet Fe pada Ibu Hamil di Wilayah Kerja Puskesmas Nanggalo Kecamatan Nanggalo: Relationship between Family Support and Adherence Fe Tablet Consumption among Pregnant Women in the Working Area Nanggalo Health Center, Nanggalo District Esthika Ariany Maisa; Nelwati; Meri Neherta
NERS Jurnal Keperawatan Vol. 7 No. 2 (2011): NJK Volume 7, Number 2
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v7i2.25

Abstract

The low adherence of pregnant women in consuming Fe tablets is regarded to be the main cause of the ineffectiveness of the Fe supplementation program held by the government to overcome anemia issues on pregnancy. One of the factors that influence the adherence of pregnant women is family support. This research was aimed at finding out the relationship between family support and the adherence in consuming Fe tablets among pregnant women in Puskesmas Nanggalo Kecamatan Nanggalo, Padang, West Sumatra in 2010. This research was designed in a correlation study with a cross-sectional approach and 32 respondents. Respondents were those who had got Fe tablets in their last visit from Puskesmas and also had a health history with anemia in pregnancy. The data was collected by using a questionnaire. Univariate and bivariate analyses were done to variable family support as well as the adherence of pregnant women. Bivariate analysis was done by cross-tabulation with a Chi-Square test. The result of the research showed that 54.9% of respondents got low family support and 71.9% of respondents had low adherence in consuming Fe tablets. From the statistics experiment, it can be concluded that there is a relationship between family support and women's adherence in consuming Fe tablets (p < 0.05). Therefore, it is suggested that nurses or other health workers in order to start asking and taking the family members, especially for husbands, to join treatment toward pregnant women with anemia.
Kompetensi Perawat Dan Kepuasan Pasien Terhadap Pelayanan Keperawatan di Rawat Jalan: Nurse Competence and Patient Satisfaction with Nursing Services Nursing Services in Outpatient Imelda Rahmayunia Kartika; Rr. Tutik Sri Hariyati; Nelwati
NERS Jurnal Keperawatan Vol. 14 No. 2 (2018): NJK Volume 14, Number 2
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v14i2.208

Abstract

Nurse competence becomes an important part that must be considered in carrying out nursing care for patients, in order to achieve patient satisfaction. Nurses' competencies in conducting assessments, nursing interventions and communication in patients on outpatient care still need to be improved. Outpatient Hospital Dr. Achmad Mochtar Bukittinggi still stated unsatisfied with nurse interactions. The purpose of this study was to determine the relationship between nurse competency and outpatient satisfaction on nursing care. The design of this study uses descriptive correlation with a cross sectional approach. The total sample of 295 outpatients was taken purposively. The instrument used was a modification of the PSNCS (Patient Satisfaction with Nursing Care Scale) and NSNS (Newcastle Satisfacton to Nursing Scale). Data analysis using Spearman Correlation. Patient satisfaction is at the middle level (Mean = 33 in the score 12 - 60), while the mean for nurse competence is 12.39. The results of this study indicate a significant relationship between nurse competence and patient satisfaction (p value = 0,0001) and r value = +0,500, which means showing a directional relationship. The value of the determinant coefficient (r2) is 0.25, which means that nurse competence can explain patient satisfaction by 25%. This shows that the higher the competence possessed by a nurse in outpatient care, the higher the patient's satisfaction in nursing services. It is expected that nurses can improve their competence so that satisfaction and quality of nursing services can be increased.
Perspectives on Neonatal Visits Coverage in Serdang Bedagai Regency Indonesia: A Qualitative Novita Br Ginting Munthe; Rizanda Machmud; Rima Semiarty; Joserizal Serudji; Adang Bachtiar; Finny Fitry Yani; Denas Symond; Nelwati Nelwati
Indonesian Journal of Global Health Research Vol 7 No 1 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i1.4092

Abstract

The purpose of neonatal visits is to re-examine newborns, review counseling and anticipation guidelines with parents, identify symptoms of illness, and educate and support parents. The purpose of neonatal visits is to improve neonatal access to basic health services and to find out as early as possible if there are abnormalities in the baby or if there are problems. One important indicator to describe the level of public health is the infant mortality rate. Objective to find out more about the perspectives on neonatal visit coverage in Serdang Bedagai District, Indonesia. The study was a qualitative with phenomenology approach. Twenty-five informants were applied in this study using purposive sampling. Data were collected using in-depth interviews. Data were analyzed using content analysis by the collaizi method. The study emerged nine themes, namely: 1) knowledge about neonatal visits; 2) neonatal visit quantity standards; 3) neonatal visit quality standards; 4) health care workers providing neonatal visiting services; 5) purpose of neonatal visits; 6) relationship between education and neonatal visit compliance; 7) relationship between husband/family support and neonatal visit compliance; 8) reasons for non-compliance with neonatal visits; and 9) culture in support of public health. These results can be input for policymakers to increase the coverage of neonatal visits in Serdang Bedagai Regency, Indonesia.
Stress and Incivility among Indonesian Undergraduate Nursing Students: A Multivariate Analysis Nelwati Nelwati; Feri Fernandes; Elvina Dwita; Rayung Ade Pratiwi
Jurnal Keperawatan Soedirman Vol 21 No 1 (2026): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2026.21.1.14110

Abstract

Nursing faculty and students consider incivility as moderate to serious problem in nursing education programs. The primary cause of incivility among nursing faculties is stress. Indonesian undergraduate nursing students experience moderate to severe stress throughout the program. This study aimed to examine the effect of stress on incivility among Indonesian undergraduate nursing students and to identify the most significant factors predicting incivility in nursing education. A quantitative, cross-sectional study was conducted involving 220 Indonesian undergraduate nursing students from a public university in Indonesia that selected using convenience sampling. The instruments employed were the Student Nurse Stress Index and the Incivility in Nursing Education-Revised Scale. Ethical approval was granted from the relevant faculty. Descriptive statistics were used to analyze data, and multivariate analysis employing Structural Equation Modeling-Partial Least Squares (SEM-PLS) was conducted to determine the most significant predictor of incivility. The mean stress score was 67.18, indicating moderate stress, while the mean incivility score y was 46.50, which means high incivility. Age and academic year were negatively associated with incivility in nursing education, with p-values of 0.041 and 0.004, respectively. The clinical concern domain of stress was the most significant predictor of incivility among Indonesian undergraduate nursing students (p=0.000). It is expected that Indonesian undergraduate nursing students will effectively manage stress to control that incivility behavior and prevent negative impacts on themselves and their nursing education institutions. Seeking social support and utilizing campus resources can help alleviate difficulties with class materials, reducing feelings of fear related to failing exams and courses