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Compliance with Standard Precautions among Midwives during the COVID-19 pandemic Mergy Gayatri; Oluwadamilare Akingbade; Emmanuel O. Adesuyi; Roland Arung Pirade; Natasha Van Antwerpen; Ningrum Paramita Sari; Sutrisno Sutrisno
Journal of Midwifery Vol 6, No 1 (2021): Published on June 2021
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.6.1.94-105.2021

Abstract

Background: While the COVID-19 pandemic has spread across nations in significant terms, midwives who play a crucial role in offering maternal and child care amid the pandemic stand a high risk of being infected. Examining their level of compliance with the standard precautions amid the pandemic is important.Purpose: To assess the level of compliance of midwives in Indonesia with Personal Protective Equipment (PPE) usage and hand washing.Methods: In June 2020, an online cross-sectional survey was conducted on 1520 midwives in Indonesia during the early onset of the COVID-19 pandemic. Data were analyzed using Statistical Package for the Social Sciences version 26. Association between demographic variables and compliance with standard precautions was measured using Chi-square test. Results: Approximately 74% of midwives used PPE and masks when outside while more than 40% of them did not always wash their hands after they touch an object outside home. A significant association was found between level of education (p =.001), region (p =.000) and mask usage. However, association between ethnicity and mask usage; region and handwashing were not significant.   Conclusion: Majority of the midwives in Indonesia complied with PPE usage, but majority did not adhere to hand washing. This highlights the need for appropriate interventions to improve compliance to standard precautions in a bid to curtail further spread of the pandemic.
Anaemia and Family Income are associated with Preeclampsia Maternal Death in Jember District, Indonesia Mergy Gayatri; Nurul Fathiyyah; Jesica Mulyadi; Diadjeng Setya Wardani; I Wayan Agung Indrawan
Asian Journal of Health Research Vol. 1 No. 2 (2022): Volume 1 No 2 (August) 2022
Publisher : Ikatan Dokter Indonesia Wilayah Jawa Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (751.36 KB) | DOI: 10.55561/ajhr.v1i2.45

Abstract

Introduction: Preeclampsia is a pregnancy-related complication causing maternal morbidity and mortality. This study aimed to determine the relationship between anaemia and family income, and maternal death from preeclampsia in Jember district. Materials and Methods: Case-control, using medical maternal autopsy verbal, from January 2016 to December 2019. 43 mortality cases from preeclampsia, and 43 controls were included in this study. Chi-square test was to test the relationship between anaemia and family income, and maternal death from preeclampsia. Results: Mothers who died from preeclampsia were more likely to have anaemia (83.72%), and being low income (86.05%). Anaemia (OR 3.703, 95% CI p-value 0.009) and low income (OR 4.032, 95% CI, p –value 0.007) were associated with preeclampsia maternal mortality. Conclusions: To reduce the prevalence of death from preeclampsia, preventive measurement for anaemia during pregnancy should be undertaken. In addition, women with low income during pregnancy should be encouraged to have health insurance.
Faktor Pemungkin dan Penguat Perilaku Ibu Membawa Anaknya ke Pos Pelayanan Terpadu (Posyandu) Mergy Gayatri; Dian Kusumaningtyas; Lidya Drajat Pramesti; Siti Karomah
Journal of Issues in Midwifery Vol. 6 No. 3 (2022)
Publisher : Journal of Issues in Midwifery

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.JOIM.2022.006.03.2

Abstract

The integrated service post program (in Indonesian: posyandu) aims to reduce infant mortality, and maternal mortality rates. However, the coverage of posyandu visits in Singosari sub-district was low (<50%) in 2021; hence this study aims to identify enabling and reinforcing factors of the behavior of posyandu visits. This research was conducted in Banjarum Village on 61 mothers who have toddlers. The survey instrument was used to identify factors related to the behaviour of visiting the posyandu under five. The results of the enabling factors showed that 88.52% of mothers had a health card, 93.44% of mothers said their children did not receive immunisation at the posyandu for during the last three months, and 100% of mothers added that the posyandu had a supplementary food provision program. The results of the enabling factors show that 100% of mothers have the support of family and community leaders to bring their toddlers to visit the posyandu, and say they need a posyandu in their residence. There was no significant relationship between enabling factors and the behaviour of mothers who brought their children to the posyandu under five (p ³ 0.05). This study includes a small number of respondents and was conducted during the COVID-19 pandemic, therefore further research can be carried out on a larger sample size and during periods outside the pandemic.