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All Journal Golden Age: Jurnal Ilmiah Tumbuh Kembang Anak Usia Dini Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Berita Kedokteran Masyarakat
Fitriana Murriya Ekawati
Department Of Family And Community Medicine; Faculty Of Medicine, Public Health, And Nursing; Universitas Gadjah Mada
Education Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Case Report: Pregnancy with Systemic Lupus Erythematosus (SLE) Ika Hermawati; Fitriana Murriya Ekawati
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 2, No 3 (2019): September
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (376.461 KB) | DOI: 10.22146/rpcpe.48156

Abstract

A 24-year-old female patient who was pregnant with a gestational age of 30 weeks came to attend an integrated prenatal check-up at Daren Village Hall at the invitation of the village midwife on April 14, 2017. During the examination, there were no complaints except a lack of appetite. The patient comes by the husband, but the husband cannot accompany him during the examination process because he will work. The patient has been married for 2 years, where the pregnancy at the time of this examination is the first pregnancy.
The Use of Personal Protective Equipment (PPE) in Maternal Care During the COVID-19 Pandemic Mawarni, Devina Bunga; Ekawati, Fitriana Murriya; Putri, Likke Prawidya; Bismantara, Haryo
Review of Primary Care Practice and Education Vol 7, No 2 (2024): July
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.105109

Abstract

Introduction: The COVID-19 pandemic has driven rapid changes in healthcare delivery worldwide, including maternal care. In Indonesia, there has been an increase in maternal and infant mortality during the COVID-19 pandemic. Hospitals and health centers are high-risk locations for the transmission of this disease. Controlling potential hazards in healthcare facilities can be achieved by using Personal Protective Equipment (PPE). However, there has been an increased demand for PPE during the pandemic, leading to a shortage of availability. Nevertheless, PPE is a crucial component for protecting both healthcare staff and patients from COVID-19 transmission. Research related to the evaluation of PPE usage among healthcare workers during the COVID-19 pandemic, especially in maternal healthcare, is limited. Therefore, this study aims to evaluate the use of Personal Protective Equipment (PPE) by healthcare workers when providing maternal care in healthcare facilities in the city of Banjar, West Java. Methods: This research is a quantitative study in the form of a descriptive cross-sectional study. The minimum sample size consisted of 96 individuals, including general practitioners, midwives, nurses, and obstetricians who are currently actively providing maternal care services in healthcare facilities in the City of Banjar. Data collection was conducted using the snowball sampling method in February – March 2022, with the El-Sokkary questionnaire from 2021 as the modified instrument distributed online. Result: The research results showed that the majority of respondents were female (96,3%), worked as midwives (95,4%), were aged 25-34 years (40,3%), had 6-10 years of work experience (29,3%), and in the past two weeks, the majority worked in primary care settings (40,3%). Exposure to training and guidelines, as well as exposure to COVID-19 patients, were both considered high (grand mean 2,7 and 2,2). Healthcare facility policies indicated that the majority did not impose sanctions (75,2%) if personal protective equipment (PPE) was not used according to guidelines, and the compliance rate ranged from 65-80% (43,1%). The frequency of PPE usage was categorized as high (grand mean 3,6), with only 58,7% feeling that the availability of PPE was sufficient, with N95 masks and similar items experiencing the most shortages (73,3%). Healthcare workers' negligence was relatively low (grand mean 2,9), but the compliance with PPE usage guidelines varied from 0 to 42,8%, depending on the type of service provided.  Conclusion: The types of personal protective equipment (PPE) frequently used by healthcare professionals (midwives, nurses, general practitioners, and obstetricians) include surgical masks/N95 masks, waterproof surgical gowns, face shields, goggles, headgear, protective shoes, aprons, and gloves. The overall compliance rate for the use of PPE is approximately 65-80% according to local healthcare facility regulations. The evaluation of PPE usage indicates that the compliance with PPE usage among maternal healthcare providers varies depending on the type of service provided, with the highest compliance observed in the case of delivery services for suspected/confirmed COVID-19 patients. The results of this research are expected to be considered by healthcare facilities and relevant stakeholders in documenting and providing the necessary types of PPE required by healthcare professionals in their daily practice.
The Impact of Women’s Perinatal Mental Health Status on the Social Behavior of Children: A Systematic Review Al-fauzia N, Awwal; Lukman, Sesaria; Wahab, Munirang; Juliandari, Kriska Afri; Cahya, Sara Eka; Pratiwi, Cesa Septiana; Ekawati, Fitriana Murriya
Golden Age: Jurnal Ilmiah Tumbuh Kembang Anak Usia Dini Vol. 10 No. 2 (2025)
Publisher : Program Studi Pendidikan Islam Anak Usia Dini, Fakultas Ilmu Tarbiyah dan Keguruan, UIN Sunan Kalijaga, Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14421/jga.2025.102-02

Abstract

Perinatal mental health disorders are common among women during pregnancy and up to a year after delivery, primarily due to significant hormonal changes. These conditions can lead to emotional and behavioral instability that may adversely affect a child's social development. Children whose social development is impaired due to compromised maternal perinatal mental health are more likely to experience difficulties in concentrating on learning, adapting socially, and forming relationships with peers. This study aims to explore in depth how perinatal mental health status influences the development of children's social behavior. A systematic review was conducted using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) and SWiM (Synthesis Without Meta-analysis) approaches. The literature search covered three major databases—PubMed, ScienceDirect, and Wiley—and two search engines—Google Scholar and Research Rabbit—for publications from 2015 to 2024. Keywords related to the impact of perinatal mental health on children's social behavior were used. Studies meeting the inclusion criteria were assessed for quality using the Joanna Briggs Institute (JBI) guidelines. Children of mothers who experienced depression during pregnancy and the postpartum period had a significantly higher risk of problems with emotional regulation (4.2-fold), hyperactivity (2.17-fold), attention disorders (1.64-fold), and anxiety disorders (0.79-fold) compared to children of mothers with good perinatal mental health. Poor maternal mental health during the perinatal period is associated with an increased risk of social behavior problems in children aged 2–5 years. Therefore, close attention to maternal mental health during pregnancy and postpartum is crucial to mitigating negative impacts on child development and emotional well-being. These findings underscore the importance of perinatal mental health interventions in reducing early childhood social disorders. Further research is needed to better understand the relationship between maternal mental health and children's social behavior and to develop effective clinical interventions.
Empowerment of Dasawisma and Health Cadres as Family Cadres to Optimize Family Posyandu Fitriadi, Yogi; Mahmudah, Noor Afif; Ekawati, Fitriana Murriya; Fauziah, Siti Rizki; Ngang, Inggong; Nababan, Adelina Novita; Claramita, Mora
Review of Primary Care Practice and Education Vol 7, No 1 (2024): January
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.88130

Abstract

Background: Health cadres are one of the important elements in realizing health in society. In the North Lombok region, the change in the status of ordinary Posyandu to family Posyandu makes health care in the community more comprehensive for all family members. For this reason, efforts to increase the capacity of health cadres are important to improve health status in the family sphere. Objective: This study aims to see the effect of training on increasing the capacity of family cadres on the knowledge of family cadres in the North Lombok Regency area. Method: The sampling process is carried out using the cluster sampling method where each village representative in the Kayangan sub-district of North Lombok Regency sends a cadre representative to train to increase the capacity of Dasawisma cadres to become family cadres. A descriptive analysis of respondents' characteristics and differences in knowledge scores before and after family cadre training activities were conducted. The data analysis process was carried out with the Wilcoxon Test because the data distribution was abnormal. Result: Thirty-three health cadres meet the inclusion and exclusion criteria. The results showed that the median value (maximum-minimum) of family cadres before training, shortly after training and six months after training was 66.67 (36.67-80), 66.67 (53.33-83.33) and 70 (53.33-96.67). From the Wilcoxon test, there was a statistically significant difference between the knowledge score before training and six months after training (p<0.05). There was no statistically significant difference between the knowledge score before training and shortly after training, as well as the knowledge score shortly after training and 6 months after training (p>0.05). Conclusion: Family cadre empowerment training can improve knowledge scores 6 months after training, but there is no significant difference in knowledge score improvement shortly after training as well as between knowledge scores shortly after training and 6 months after training.
The Association Between Demographic, Socio-Economic, Smoking Habits and Food Cravings in Adolescents Venessa, Benedicta; Muhammad, Harry Freitag Luglio; Ekawati, Fitriana Murriya
Review of Primary Care Practice and Education Vol 7, No 1 (2024): January
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.96103

Abstract

Background: Food cravings are one of the factors that can increase the risk of being overweight in adolescents. Food cravings can be influenced by several factors, such as smoking habits and demographic and socio-economic conditions. Objective: Therefore, this study aims to see whether there is a relationship between demographic, socio-economic conditions, and smoking habits with the incidence of food cravings in adolescents. Methods: This study used a cross-sectional study and was conducted online in July-September 2021 involving 249 respondents from 2 senior high schools in Gunungkidul Regency. Data on demographic, socio-economic conditions, and smoking habits were collected using the Global Youth Tobacco Survey questionnaire, while data on food cravings were collected using the Food Cravings Questionnaire-Trait-reduced questionnaire. Results: From this study, it was found that the variables gender (p value: 0.000), age (p-value: 0.028), and smoking frequency (p-value: 0.045) were significantly related to the FCQ-Tr score. Conclusions: Demographic conditions (gender and age) and smoking habits (smoking frequency) are associated with the incidence of food cravings. However, further research is needed with a wider population to prove the results of this study.
Estimated cost of diabetic wound care in primary healthcare facilities using the time-driven activity-based costing method Budiarto, Arif; Oktafitria, Rita; Hafidz, Firdaus; Aristianti, Vini; Ekawati, Fitriana Murriya; Siregar, Dedy Revalino; Ilyasa; Budiman, Arif; Hendrawan, Donni; Ruby, Mahlil
BKM Public Health and Community Medicine Vol 41 No 11 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v41i11.23797

Abstract

Purpose: This study aimed to estimate the unit cost of diabetic wound care services in primary healthcare facilities (FKTPs) using the Time-Driven Activity-Based Costing (TDABC) method and to quantify the potential cost savings from reallocating cases from secondary (FKRTL) to primary care facilities. Methods: A micro-costing analysis was conducted across 40 FKTPs in Indonesia using a standardized five-step TDABC framework, covering personnel, facility, medical supplies, and overhead costs. Descriptive and nonparametric statistical methods, including the trimmed mean, geometric mean, and interquartile range, were applied to derive cost estimates, and simulations with 15% and 35% case shifting from FKRTL to FKTP were performed. Non-parametric methods (Kruskal–Wallis and Mann–Whitney U) were applied because the cost data were not normally distributed. Results: The estimated unit cost per diabetic wound-care visit ranged from IDR 67,121 (best-case scenario) to IDR 77,189 (realistic scenario). Cost-shifting simulations projected potential savings of up to IDR 28.15 billion in the 35% scenario. Conclusion: Strengthening diabetic wound-care services at the primary care level may enhance system-wide efficiency and reduce avoidable expenditures within the National Health Insurance (JKN) scheme, supporting the adoption of more cost-effective service delivery models in Indonesia.
Co-Authors Al-fauzia N, Awwal Arif Budiarto Arif Budiman Bismantara, Haryo Cahya, Sara Eka Fauziah, Siti Rizki Firdaus Hafidz As Shidieq Harry Freitag Luglio Muhammad Hendrawan, Donni Ika Hermawati Ilyasa Juliandari, Kriska Afri Likke Prawidya Putri Lukman, Sesaria Mahmudah, Noor Afif Mawarni, Devina Bunga Mora Claramita Nababan, Adelina Novita Ngang, Inggong Oktafitria, Rita Pratiwi, Cesa Septiana Ruby, Mahlil Siregar, Dedy Revalino Venessa, Benedicta Vini Aristianti, Vini Wahab, Munirang Yogi Fitriadi