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All Journal Archive of Community Health Buletin Udayana Mengabdi Journal of Public Health Research and Community Health Development (JPH RECODE) Public Health and Preventive Medicine Archive
Luh Putu Lila Wulandari
Public Health Postgraduate Programme, Udayana University, Department Of Public Health, Faculty Of Medicine, Udayana University
Education Health Professions Public Health

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Relationship between Education, Knowledge, Attitude, Behavior and Family Support with Antenatal Care (ANC) Visit Frequency among Expectant Mothers in the Ermera District Timor Leste, 2013 Honoria D.F.P. Carvalho; Nyoman Tigeh Suryadhi; Luh Putu Lila Wulandari
Public Health and Preventive Medicine Archive Vol. 2 No. 1 (2014)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2014.v2.i1.p04

Abstract

Background and purpose: Regional government recommendations require that 80% of all pregnant mothers visit an antenatal care clinic, however, Ermera District has yet to fulfil this target (34.5%). Low levels of access to antenatal care clinic services impacts negatively on maternal and infant mortality. This study aims to determine the relationship between education, knowledge, attitudes, behaviors and family support with ANC clinic access among pregnat mothers in Ermera District, Timor Leste. Methods: A cross-sectional design was adopted with a sample of 87 pregnant mothers, drawn by the method of multistage cluster random sampling of 9.886 population. The dependent variable was the ANC clinic, while maternal education, knowledge, attitude, behavior and family support were independent variables. Data were collected through self-administered questionnaires, however for the illiterate, researcher assisted completion of the instrument. Data analysis was conducted in stages included univariate, bivariate (chi-squared test) and multivariate (logistic regression) analysis. Results: The results of bivariate analysis indicated there was significant association between knowledge (p=0.002), attitude (p=0.012), behavior (p=0.030), and family support (p=0.015) with the ANC in pregnant women. Multivariate analysis indicated that there was an association between maternal knowledge and ANC visit frequency. Analysis showed that maternal knowledge was the only variable associated with the ANC visits (p=0.046). Conclusion: Only maternal knowledge is associated with the ANC visit among pregnant mothers in Ermera District, Timor Leste
Relationship between Demographic Characteristics, Knowledge and Attitude of Fertile Aged Women in Seeking Pap Smear Services at Sukawati II Community Health Centre, Gianyar Regency Martini; Luh Putu Lila Wulandari; I Nyoman Mangku Karmaya
Public Health and Preventive Medicine Archive Vol. 2 No. 1 (2014)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2014.v2.i1.p11

Abstract

Background and purpose: Pap smear coverage in 2011 at Sukawati II Health Centre was only 0.39% (17 people) which is well below the district target of 85%. This is in fact a decrease from 2009 (1.12%/49 people) and 2010 (0.73%/32 people). This study was aimed to examine the relationship between demographics, knowledge, and attitudes of reproductive aged women, including sexual behavior and pap smear seeking behavior. Methods: Research used a cross-sectional survey among 50 reproductive aged women from Sukawati II Health Center, not pregnant and literate. Data was collected through structured questionnaire interview and secondary data from healthcare center records. Data were analysed using univariate, bivariate (chi-squared test) and multivariate analysis (logistic regression). Results: Bivariate analysis indicated that education (p=0.006), financial status (p=0.024), knowledge (p=0.006) and attitude (p=0.001) were significantly associated with pap smear practices. The multivariate analysis showed that onlythe attitude ofwomen that related toactionswith apap smearwith OR=12 (95%CI: 2.31-62.46). Conclusion: The attitude of reproductive aged women is associated to pap smear practices in Sukawati II Health Centre, Gianyar Regency.
Tobacco Smoke Exposure as Risk Factor in Early Neonatal Death in Mataram, Nusa Tenggara Barat (NTB) Musrifa; Luh Putu Lila Wulandari; Dewa Nyoman Wirawan
Public Health and Preventive Medicine Archive Vol. 2 No. 1 (2014)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2014.v2.i1.p13

Abstract

Objective: To investigate tobacco smoke exposure as risk factor of early neonatal death in Mataram, NTB. Method: The study design was case control with a total sample of 87 consisting of 29 cases and 58 controls (1:2). Dependent variable was early neonatal death, independent variable was tobacco smoke exposure. Frequency of antenatal visit, family income, delivery complications, anemia and low birth weight were confounding variables. Data were collected through interview and registered cohort data from nine health centres during the period of 1 January-31 December 2013. Data were analyzed by using bivariate and multivariate (logistic regression) to calculate crude OR and adjusted OR. Result: Results of bivariate analysis indicated that tobacco smoke exposure during pregnancy, extent of exposure ≥3 cigarettes/days during pregnancy, and amount of exposure ≥6 cigarettes/days last 24 hours were 2.75 (95%CI: 0.72-10.50); 2.34 (95%CI: 0.77-7.08); and 2.18 (95%CI: 0.65-7.29) respectively, increasing neonatal death but was not statistically significant. Multivariate analysis indicated that tobacco smoke exposure during pregnancy was 1.32 (95%CI: 0.03-69.90). OR of other variables: low birth weight, family income under IDR 1,100,000,- and delivery complications were 204.39 (95%CI: 20.37-2050.07); 7.86 (95%CI: 1.45-42.83) and 7.55 (95%CI: 1.01-56.38) respectively. Conclusion: Tobacco smoke exposure was not statistically significant risk factor, specifically the smoking habits of the husband. Study discovered that low birth weight, family income under IDR 1,100,000,- and delivery complication during birth were statistically significant factors. Further study is needed to confirm these findings.
Direct and Indirect Factors Influencing Selection of Birthing Attendants in Gunungsari, West Lombok (NTB) Ni Nyoman Aryaniti; Luh Putu Lila Wulandari; I Nyoman Mangku Karmaya
Public Health and Preventive Medicine Archive Vol. 2 No. 2 (2014)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2018.v2.i2.p02

Abstract

Background and purpose: This study aims to determine the direct and indirect factors influencing the selection of birth attendants in Gunungsari subdistrict, West Lombok. Methods: This study was cross-sectional with a purposively selected sample of 27 mothers giving birth assisted by non-health professionals. Samples of those assisted by health professionals were taken by means of proportional systematic random sampling in Gunungsari and Penimbung health centers, respectively 29 of 916 and 14 of 437. Exogenous factors were maternal education levels, attendance to ANC classes, knowledge levels regarding to birthing attendants, maternal attitude, family support, and access to facilities. Birth attendant selection was the endogenous factor. Data were collected by means of interviews. Data analysis includes descriptive and inferential analysis with path analysis by linear regression. Results: The majority of respondents were 21-25 years old (87.4%), housewives (47.14%) had education under high school (65.72%) and were married (88.57%). Family support had a direct influence in decision making with a coefficient of 0.534 and 35.54% influence overall. Attendance to ANC classes in addition to family support had an indirect influence with a coefficient of 0.520 and 34.78% influence overall. Family support had a direct influence and the factor of attendance to ANC classes and family support has an indirect effect with the overall effect of 70.32%. Conclusion: The presence of the husband/family was needed in ANC class, through an implementation of schedule agreement.
Reasons Behind Non-Exclusive Breastfeeding by Working Women in Mataram City West Nusa Tenggara Haryani; Luh Putu Lila Wulandari; I Nyoman Mangku Karmaya
Public Health and Preventive Medicine Archive Vol. 2 No. 2 (2014)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2018.v2.i2.p06

Abstract

Background and purpose: The purpose of this study was to determine why working mothers choose to not exclusively breast feed their infants in Mataram, West Nusa Tenggara. Methods: The study used a qualitative design with a phenomenological approach. Data collection in this study involved focus group discussions and in-depth interviews. In-depth interviews with 9 working women not exclusively breastfeeding. Focus group discussions two comprising of 21 respondents were husbands, in-laws, mother’s family, healthcare provider, workplace representatives, religious and community leaders. Result: Study findings indicated that the primary reason for working women to not exclusively breastfeed, because of a lack of individual motivation, pressures of a high workload, lack of permitted time off, lack of infrastructure and concerns about losing employment due to time off. Obstacles included fear of losing employment, maternal physical factors (low/no milk production), psychological factors (stress/anxiety/frustration), lack of facilities and supporting infrastructure. Conclusion: The predominant reasons behind non-exclusive breastfeeding were lack of personal motivation, high workload, lack of permitted time off, lack of supporting infrastructure and fear of losing employment. The external obstacles for providing exclusive breastfeeding were economic factors, the mother’s ability to produce milk, psychological factors, lack of supporting infrastructure.
Access to Health Service Related to Use of Antenatal Care Facilities at the Kawangu Health Centre, East Sumba Nara Adriana; Luh Putu Lila Wulandari; Dyah Pradnyaparamita Duarsa
Public Health and Preventive Medicine Archive Vol. 2 No. 2 (2014)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2018.v2.i2.p08

Abstract

Background and purpose: The study aims to determine factors influencing the utilization of accredited government-run ANC facilities at the Kawangu Health Centre. Methods: Research was a cross-sectional study, with a total of 85 samples taken by consecutive sampling from the Kawangu Health Centre. The dependent variable was the use government-run ANC facility at the Kawangu Health Centre. The independent variables were knowledge, awareness, attitudes, access to health services, frequency of receiving information and family support. The data were collected by interview using questionnaires. The data analysis includes univariate, bivariate (chi-square) and multivariate analysis with logistic regression. Results: The results of the study indicated that there was a significant relationship between the use of accredited government-run ANC facilities with maternal knowledge/awareness (p=0.001), attitude (p<0.001), ability to access to health services (p<0.001), frequency of information (p=0.039), and family support (p<0.001). Multivariate analysis indicated that the only significant independent variable related to the use of adequate delivery was the ability to access health services with OR =11.68 (95%CI: 1.37 to 99.89). Conclusion: An inability to access either due to distance to travel, lack of vehicle and/or infrastructure concerns such as poor quality/lack of roads was the dominant variable in the utilization of accredited government-run ANC facility.
Enabling and Barriers of Implantable Contraceptive Use at Health Centre I North Denpasar Nida Gustikawati; Luh Putu Lila Wulandari; Dyah Pradnyaparamita Duarsa
Public Health and Preventive Medicine Archive Vol. 2 No. 2 (2014)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2018.v2.i2.p09

Abstract

Background and purpose: The objective of this study was to explore the supporting and the inhibiting factors influencing the use of implant contraceptive use by women of childbearing age. Methods: The study was qualitative using a phenomenological approach. Data collection involved a purposively selected sample, conducting two FGD (10 implant users and 10 non-users) and 11 in-depth interviews among private midwives, government midwives, husbands, in-laws, and family planning staff. Results: FGD found that perceptions and attitudes towards implants of those already using the contraceptive were positive, while the perceptions and attitudes of non-users were less so. Some respondents intimated that they experienced side effects though these were not a deterring factor in usage. Enabling factors for the use of implant contraceptives were the availability and accessibility to the healthcare facilities and the support of their husbands. Access to facilities and infrastructure were not inhibiting factors either for the users or the non-users. Findings from in-depth interviews indicated that inhibiting factors included were the desire to have more children and the lack of promotion of the implant contraceptives. Healthcare provider informants stated that the lack of training was an inhibiting factor. Conclusion: Enabling factors for the use of implant contraceptives were the availability and accessibility to the healthcare facilities and the support of their husbands. Inhibiting factors were the desire to have more children, the lack of proper training for the health workers, as well as the lack of promotion of the implant contraceptive in the community
Risk Factors of Pulmonary Smear Positive Tuberculosis Incidence in Dili District Timor Leste 2014 Jacinta dos Santos Guterres; Luh Putu Lila Wulandari; Dewa Nyoman Wirawan
Public Health and Preventive Medicine Archive Vol. 2 No. 2 (2014)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2018.v2.i2.p14

Abstract

Background and objectives: According to the WHO, the pulmonary tuberculosis (TB) in Timor-Leste is estimated to have the highest mortality rate in the region which is 45 per 100,000 populations. The aim of this study was to determine the risk factors for pulmonary tuberculosis in the Dili District. Methods: The study design was a case-control. Cases were patients with positive BTA pulmonary tuberculosis, and controls were non TB patients registered at two TB clinics (Motael and Bairro-Pite) and the three public health centers (Comoro, Formosa and Becora) in Dili, July 2013 - February 2014. Numbers of samples were 138 people consisting of 46 cases and 92 controls (1:2). Risk factors studied were smoking habits, contact with patients, nutritional status, family income, population density, sun lighting, ventilation and the use of firewood for cooking. Data were collected through interviews, observation and measurement. Bivariate analysis was performed to determine the similarity between cases and controls and to calculate the crude OR. Multivariate analysis with logistic regression was performed to determine adjusted risk factors that contribute to the increasing TB patients. Results: There were no significant differences between cases and control groups in age, gender, education and occupation (p>0.05). Bivariate analysis showed that the risk factors of pulmonary tuberculosis were the contact with patients (OR=2.809; 95%CI: 1.337-5.900), nutritional status (OR=2.380; 95%CI: 1.096-5.169), the sun lighting (OR=8.090; 95%CI: 3.468-18.872) and ventilation (OR=6.141; 95%CI: 2.709-13.924). Multivariate analysis showed that the significant risk factors were the contact with patients (OR=3.428; 95%CI: 1.455-8.075) and exposure to sunlight (OR=4.601; 95% CI: 1.336-15.845). Conclusion: The contact with patients and the exposure to sunlight were the risk factors for pulmonary TB of positive BTA at the Dili District of Timor Leste.
Co-Authors Anak Agung Ngurah Gede Dharmayuda Desak Made Sintha Kurnia Dewi Desak Putu Yulita Kurniati Dewa Nyoman Wirawan Dewi, Desak Made Sintha Kurnia Dyah Pradnyaparmita Duarsa Haryani Honoria D.F.P. Carvalho I Nengah Sujaya I Nyoman Gunarta I Nyoman Mangku Karmaya I Nyoman Mangku Karmaya I Nyoman Mangku Karmaya I Nyoman Mangku Karmaya I Wayan Gede Artawan Eka Putra Jacinta dos Santos Guterres Kadek Tresna Adhi M. Karjono Martini Melisa dewi Musrifa Nara Adriana Ni Ketut Sutiari Ni Komang Ekawati Ni Made Sri Nopiyani Ni Made Utami Dwipayanti Ni Nengah Wida Yasmari Ni Nyoman Aryaniti Ni Wayan Septarini Nida Gustikawati Nyoman Tigeh Suryadhi Nyoman Tigeh Suryadhi Virginia Wiseman