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THE DIFFERENCE IN EFFECTIVENESS BETWEEN COCONUT OIL AND TELON OIL WITH WARM BATH IN PREVENTING HYPOTHERMIA IN NEWBORN BABIES AT PMB RIRIN RESTATI NINGRUM BULULAWANG inge ayu wardani sakinah; Ardi Panggayuh; Asworoningrum Asworoningrum
Jurnal Keperawatan Terapan Vol 5 No 2 (2019): Jurnal Keperawatan Terapan (e-journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v5i2.1240

Abstract

Newborns have not optimal thermoregulation system, but they sued for adaptation in the extrauterine so they can minimalize complications occur. If the conditions of not optimal ability in thermoregulation system does not compensated by the right baby care technique, it can cause hypothermia. This research intend to know the diffetence in effectiveness between coconut oil dan telon oil with warm bath in preventing hypothermia in newborn. This research use observational analytic with cross sectional approach as the research design with 30 samples that fullfil the inclusion criteria by purposive sampling. Data is processed using the Independent test t test and the results showed a p value of 0.196, which means that there was no difference in effectiveness between the husk of coconut oil and telon oil with a warm bath in preventing hypothermia in newborns. Based on the average temperature after treatment, coconut oil seka group has a higher average temperature so that it can be an alternative baby care.
Analysis for policy: articles related to integrated ANC services in regulation of Health Minister Republic Indonesia No. 97 year 2014 Inge Ayu Wardani Sakinah
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Indonesia's volatile maternal mortality rate has led the government introduce the Integrated ANC program (the Minister of Health Regulation No. 97/2014). However, in its implementation, many need to be improved. Failing to achieve the targeted four antenatal care visits in several regions, the maldistribution of health personnel and the sub-optimal contribution of regional funding deserve a review. It is necessary to establish a program with perpetual evaluation and improvement, with a more effective policy in health workers' deployment to reach all Indonesian regions. The MMR's expected decrease becomes the goal if integrated antenatal care works. My paper discusses challenges in making integrated antenatal care work in less disadvantaged regions.
ANC in new normal adaptation era: Challenge and opportunity Inge Ayu Wardani Sakinah
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Objective: This paper aims to describe challenges and opportunities in implementing various ANC models in the new normal adaptation era based on a literature review. Content: COVID-19 pandemic not only increased morbidity and mortality but also affect various sectors, including the health care system in Indonesia. ANC is one of those affected indicated by decreased coverage of K1 and K4. Restrictions on maternal and newborn health services, recommendations to delay ANC visits, feeling worried about getting infected by COVID-19, are several reasons why mothers decide not to do ANC visits. The barrier to access optimal health services may cause health problems. Other countries overcome this by using various models to deliver ANC, such as telehealth, home visits, hybrid model, and scheduled appointment. In developed countries, telehealth offered several classes to improve maternal and fetus health, and mHealth for mental consultations. Home visits are also carried out by considering mother condition and risk management for both mothers and health workers. Hybrid Models which combine telehealth and in-person visits are important for high-risk pregnancy with some considerations such as USG examination, a complete diagnostic examination in early pregnancy, and complications management. Another model has scheduled appointments based on the time agreement by mother and health workers with the standards for preventing COVID-19 transmission, shortening meeting duration, and arranging consultation schedules to avoid queues. In Indonesia, adopting only one model seems not feasible, but a combination of several models can be applied as an alternative. Home visits and schedule appointments have been implemented, but standard general guideline prevention of transmission and standard services must be made properly. Telehealth and Tele counseling can be used for routine visits, but they can’t guarantee the quality of ANC. More consideration is K1 must be done directly followed by the scheduled appointment model, while telehealth and Tele counseling can be complemented. Conclusion: The ANC service system in the new normal era must combine several models to ensure the quality and quantity of ANC visits.