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Journal : Journal of Health Technology Assessment in Midwifery

Midwives’ knowledge, risk perceptions, preventive behaviour and adherence to infection control regarding Covid-19: Cross-sectional study in Indonesia Rosyidah, Hanifatur; Sutrisminah, Emi; Tamang, Indra Kala
Journal of Health Technology Assessment in Midwifery Vol. 5 No. 2 (2022): November
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhtam.2621

Abstract

Midwives are at the highest risk of getting COVID-19 in maternity wards. This study aimed to assess factors determining the knowledge, attitude and prevention of midwives towards COVID-19 in Indonesia. A cross-sectional online survey was conducted among 478 midwives spreading through whatsapp from December 2020 to January 2021. The factors knowledge, attitude and practice of midwives were estimated using 11, 7 and 7 questions, respectively. A multivariable logistic regression analysis was used on SPSS version 23 to identify factors related to the knowledge, attitude and prevention practice of midwives on COVID-19. Significance was determined at a p value of < 0.05 and association was described by using odds ratio at 95% CI. Among 478 midwives, 92.3% has a good behaviour to protect them from Covid-19, 78.2% have good attitude and 40.2% have poor knowledge.  There was no relationship between respondents' socio-demographic characteristics and their knowledge. The availability PPE, disinfectant and IP guidelines significantly influence preventive behaviour of midwives.Training and availability of equipment are recommended to ensure a good knowledge, attitude and practice of midwives.
Perinatal interventions to reduce the severity of postpartum depression: A narrative review Rosyidah, Hanifatur; Nakatudde, Hadijah; Adyania, Kartika; Susanti, Siti
Journal of Health Technology Assessment in Midwifery Vol. 6 No. 2 (2023): November
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhtam.3057

Abstract

Postpartum depression (PPD) is a mental disorder that can affect mothers and their families, with symptoms of fatigue, mood swings, frequent anger for no reason, and excessive worry for the baby. Several studies regarding interventions that can be given to postpartum women with PPD have been carried out. The purpose of this review is to assess evidence on the effectiveness of a broad range of perinatal interventions to reduce the severity of PPD. The review of the literature has been done through PubMed, for papers with Randomized Control Trial (RCT) design published in 2012-2021. The approach was to explore quantitative parameters which is the EPDS score. More than 300 papers were identified, but only 6 studies met the inclusion criteria. A narrative review was conducted due to the studies' significant heterogeneity. Six studies reported a decrease in EPDS score. Six interventions have been identified to reduce the severity of PPD, they are exercise, psychological intervention, telephone-based Cognitive Behavioral Therapy (CBT), iBA (internet Behavioral Activation), application-based Cognitive Behavioral Therapy (CBT) and psychoeducation. This review suggests that multiple intervention program may lead to better outcomes in terms of client’s satisfaction. There is also some indication that psychoeducation support Maternal Parental Self-efficacy (MPSE) and social support besides EPDS.
Breastfeeding education training program for healthcare professionals: A narrative review Rosyidah, Hanifatur; Khadka, Sabita; Sunah
Journal of Health Technology Assessment in Midwifery Vol. 7 No. 1 (2024): May
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhtam.3538

Abstract

Lack of knowledge and skills regarding breastfeeding education leads mothers to prefer formula milk over exclusive breastfeeding. Breastfeeding education provided by health professional is needed to support mothers to breastfeed their baby exclusively. Methodology: The methodology employed in this study was a narrative review where the researcher critically examines the ideas presented in several studies regarding breastfeeding education training program for health workers. Articles were selected using inclusion criteria: original research, published in English and Indonesian languages, within the last 5 years (2018-2023). A total of 50 articles were found. Ten articles meeting the inclusion criteria were included in the author's review. Conclusion: Breastfeeding education training programs have an impact on the success of breastfeeding mothers. The more healthcare professionals, especially midwives, understand breastfeeding education, the more breastfeeding mothers will be aware of the importance of breastfeeding for their children.
Instrument for measuring maternal attitudes, knowledge and self-confidence towards breastfeeding: Literature review Rosyidah, Hanifatur; Nafisah, Wardatun; Surani, Endang; Nakatudde, Hadijah
Journal of Health Technology Assessment in Midwifery Vol. 7 No. 2 (2024): November
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhtam.3915

Abstract

The level of exclusive breastfeeding in Indonesia has still not reached the expected target. According to the World Health Organization (WHO), in 2019 the average rate of exclusive breastfeeding in the world was around 38%. This is far above the target of 50%. The causes of low coverage of exclusive breastfeeding are influenced by lack of awareness of the importance of breastfeeding, lack of maternal self-confidence, and low knowledge about the benefits of breastfeeding for mothers and babies. The research aims to describe and compare breastfeeding assessment instruments which include assessing mothers' attitudes, knowledge and beliefs in exclusive breastfeeding. The method used in this review is identification based on keywords, screening titles and abstracts, and selecting based on inclusion and exclusion criteria. The total of 10 articles were reviewed. According to 10 articles, 7 instruments were obtained, such as NeoEAT-Breastfeeding and IIFAS, which are effective in assessing the attitudes, knowledge, and beliefs of breastfeeding mothers. Overall, the instruments mentioned above can be used by healthcare workers to assess a mother's ability to breastfeed, with the note that validation and adaptation of the instrument into the national language are required.
Breastfeeding flashcards (BFC): An innovative tool for breastfeeding education using ADDIE model Rosyidah, Hanifatur; Prameswari Rahayu, Indira; Aisyaroh, Noveri; Mathurin, Jeffthanie
Journal of Health Technology Assessment in Midwifery Vol. 8 No. 1 (2025): May
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhtam.4137

Abstract

This study outlines the development and evaluation of Breastfeeding Flashcards (BFC) as a tool to support breastfeeding education for pregnant and postpartum mothers. The flashcards are intended for use by midwives, healthcare professionals, and community health workers or cadres. The development process followed the ADDIE model, which includes five stages: Analysis, Design, Development, Implementation, and Evaluation. The BFC development process involved information gathering, storyboard creation, color coding, and card printing. The content and design were validated through consultations with breastfeeding and media experts. The flashcards were then pre-tested with mothers and community health cadres to assess their usability and effectiveness. Post-implementation surveys and interviews revealed significant improvements in cadres’ knowledge, as confirmed by the Wilcoxon signed-rank test. Cadres were able to effectively deliver breastfeeding education using BFC. Feedback from mothers, cadres, and midwives was highly positive. Cadres found the flashcards easy to use, citing the clear information, supportive images, and brief explanations on the back as helpful for communication. They expressed strong willingness to continue using the tool. Mothers appreciated the support from cadres and found the education beneficial. Overall, BFC proved to be an effective tool in supporting cadres’ breastfeeding education efforts. The involvement of trained cadres in delivering breastfeeding education is crucial for the successful integration of strategies aimed at improving breastfeeding practices and increasing breastfeeding coverage. Additionally, the BFC has potential for broader use, including by other health professionals and as an educational resource in health training programs.