Susilawati Susilawati
Faculty of Public Health, State Islamic University of North Sumatra, Indonesia

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Estimation Of Low Birth Weight Risk In Indonesia: What Is The Most Appropriate Intervention? Reinpal Falefi; Nofi Susanti; Susilawati Susilawati; Hikmat Zakky Almubaraq
Jurnal Kebidanan dan Kesehatan Tradisional Jurnal Kebidanan dan Kesehatan Tradisional Volume 7 Number 2 Year 2022
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkkt.v0i0.373

Abstract

Background: The prevalence of low birth weight (LBW) in the world (20%) and in Indonesia is still high (12.4%). The importance of efforts to reduce the incidence of LBW is written in the global nutrition targets for 2025. Methods: The study design in this study was quantitative using the data set 'Indonesian Demographic and Health Survey (IDHS) of 2017. The samples included in the research process were 13,269 samples with probability proportional to size (PPS) sampling technique. The research instrument was based on a modified DHS VII questionnaire. Data were analyzed by chi-square test, binary logistic regression, and Receiver Operating Characteristics (ROC). Results: The prevalence of LBW in Indonesia is 7% [95% CI: 6.6, 7.5]. The final model for determining low birth weight after controlling for confounding was gemelli P<0.001 [OR: 22,428; 95% CI: 14,145, 35,561], history of pregnancy complications P<0.001 [OR: 1,906; 95% CI: 1.569, 2.315], education level P=0.002 [OR: 1.581; 95% CI: 1.180, 2.117], economic status P<0.001 [OR: 1.509; 95% CI: 1.225, 1.859], and gestational interval P=0.016 [OR: 1.401; 95% CI: 1,066, 1,842]. The minimum probability of the prediction model is 2.8%-80.5% [AUC = 0.638; Sensitivity = 0.074; Specificity = 0.996]. Conclusion: Diagnostic performance with ROC evaluation on a predictive model of LBW determinant has very high specificity power. Mothers with gemelli status need to be the focus to reduce the risk of low birth weight.
COVID-19’s Vaccine Rejection: Lesson Learned To Preserving Health Security In Indonesia Reinpal Falefi; Hikmat Zakky Almubaraq; Susilawati Susilawati
Interest : Jurnal Ilmu Kesehatan INTEREST: Jurnal Ilmu Kesehatan Volume 11 Number 2 Year 2022
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/interest.v11i2.507

Abstract

Background: Indonesia is a country with low COVID-19 vaccination coverage from 2020 through 2021. Different sociodemographic conditions determine the success of vaccination in suppressing the transmission of COVID-19. This systematic review aims to identify the reasons for the refusal of the COVID-19 vaccine among the general and vulnerable communities in Indonesia. Methods: This study uses a systematic review method using PubMed and Google Scholar. The keywords used are COVID-19 vaccine, acceptance, determinant, and Indonesia. The article, which was specifically researched, presents the acceptance of the COVID-19 vaccine in Indonesia only in 2020 and 2021. Elicit information from found articles to form conclusions for each article. Results: Based on 12 studies, the main causes of the rejection of the COVID-19 vaccine in Indonesia are knowledge and negative attitudes. In the aspect of knowledge, three things become problems, namely fear of the side effects of vaccination, doubts about the effectiveness of vaccines, and doubts about vaccine safety. Negative attitudes are influenced by propaganda and conspiracies. Conclusion: The general population and vulnerable people in Indonesia are more likely to reject the COVID-19 vaccine, so the target for mass vaccination is not achieved, the main reasons being knowledge and perception. Control strategies and invitations for specific COVID-19 vaccinations are critical in order to get the general public and vulnerable populations to participate in vaccination activities.