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All Journal Jurnal Kesehatan Ibu dan Anak Medical and Health Journal
Joko Mulyanto
Universitas Jenderal Soedirman
Health Professions Medicine & Pharmacology Nursing Public Health

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DISTRIBUSI SPASIAL KUALITAS AIR TANAH DAN DESKRIPSI PENYAKIT YANG BERKAITAN DENGAN AIR DI DESA BRINGKENG, KECAMATAN KAWUNGANTEN, KABUPATEN CILACAP Siti Munfiah; Hajid Rahmadianto Mardihusodo; Tirta Wardana; Yudhi Wibowo; Joko Mulyanto
Medical and Health Journal Vol 2 No 2 (2023): February
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (522.431 KB) | DOI: 10.20884/1.mhj.2023.2.2.8361

Abstract

Access to clean water is fundamental for the population health, but for many rural and remote areas in Indonesia include Cilacap Regency those accesses are still limited. Furthermore, studies that assess the water quality in remote and rural areas in Indonesia are still lacking. Most of the people in Cilacap regency use dug wells and ponds as sources of clean water. Preliminary observations indicate that well and pond water smells fishy, reddish-yellow, or brownish. This condition indicates high iron levels. The test results showed that the iron content exceeded the standard in the pond in Sumbereja Hamlet, RT 03 RW 02, which was 9.8 mg/l (standard quality of 1 mg/l). This study aims to determine the spatial distribution of the water quality and the health-related problems in the rural areas of Cilacap Regency, Central Java, Indonesia. This was a descriptive observational study with a cross-sectional approach. We purposely sampled 40 wells and ponds located in Bringkeng Village, Cilacap Regency, Indonesia and assess the water quality by measuring the level. The results showed the lowest and the highest level of TDS (125.90-5090 mg/l), color (40 -2047 TCU), iron (0.16-6.45 mg/l), manganese (<0.1- 3.61 mg/l). Health problems experienced by respondents and or their families during the last three months, namely 3 people with diarrhea, 7 people with diabetes, 12 people with gout arthritis, 10 people with hypertension, 1 person with nervous system disorders, and 7 people with dry skin disorders/scaly. All dug wells and ponds did not meet the quality standards based on TDS, color, iron, and manganese levels. Water from dug wells and ponds needs special treatment to obtain water that is suitable for hygiene and sanitation purposes.
Midwives' perceptions of patient safety and their impact on patient outcomes: systematic review Fajar Rubianti; Budi Aji; Joko Mulyanto
Jurnal Kesehatan Ibu dan Anak Vol. 19 No. 1
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v19i1.2964

Abstract

Patient safety is a global health priority, particularly in maternity care, where midwives are central to ensuring safe maternal and neonatal outcomes. Yet, their own perceptions of safety remain underexplored. This systematic literature review aimed to synthesise evidence on midwives’ perceptions of patient safety and examine how these perceptions influence maternal and neonatal outcomes. The review followed PRISMA 2020 guidelines and used the JBI Critical Appraisal Checklist for quality assessment. Literature searches were conducted in PubMed, Scopus, ScienceDirect, and Google Scholar for studies published between 2020 and 2025. Eligible studies included quantitative research exploring midwives’ safety perceptions and related outcomes. From 250 identified records, four studies met the inclusion criteria.. Findings revealed that midwives’ perceptions of safety were shaped by staffing adequacy, work environment, managerial support, and communication systems. Understaffing of registered midwives was associated with an 11% increase in harmful incidents, and high patient turnover with a 19% increase in adverse events. Structured feedback and leadership-driven action planning improved teamwork climate and job satisfaction. Positive work environments correlated with stronger safety culture and intent to remain in the profession. Additionally, communication tools supporting woman-centred care enhanced shared decision-making and improved labour experiences. Midwives’ perceptions of safety reflect real systemic risks and can serve as early indicators of maternal care quality. Strengthening staffing levels, fostering supportive organisational cultures, and promoting woman-centred practices are critical to enhance both patient outcomes and workforce stability.
Co-Authors Budi Aji Fajar Rubianti Hajid Rahmadianto Mardihusodo Siti Munfiah Tirta Wardana Yudhi Wibowo