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All Journal Jurnal Aisyah : Jurnal Ilmu Kesehatan Jurnal Kebidanan dan Keperawatan Aisyiyah COVID-19 : Journal of Health, Medical Records and Pharmacy
Samosir, Yohana
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Humanities Chemistry Education Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Veterinary

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Cost-effectiveness of gestational diabetes screening in middle-income countries: a systematic review Annisa, Pariqa; Br Karo, Deliana; Ratnaningrum, Asti; Samosir, Yohana; Astuti, Andari Wuri; Icanervilia, Ajeng Viska; De Moniz, Maria Fatima
Jurnal Kebidanan dan Keperawatan Aisyiyah Vol. 20 No. 1 (2024): Juni
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jkk.3636

Abstract

The majority of GDM occurs in low- and middle-income countries. GDM is associated with increased maternal and infant complications as well as an increased burden of health financing. Accurate and cost-effective screening is needed for prevention and further treatment. Unfortunately, there is a lack of research on the cost-effectiveness of GDM screening in middle-income countries. The objective of this study was to uncover scientific proof concerning the cost-effectiveness analysis of screening for gestational diabetes in middle-income countries. We conducted a systematic review using Pubmed and ScienceDirect. Four reviewers screened the title and abstract of each article, followed by the selection of the full text based on the inclusion criteria (cost-effectiveness analysis studies of GDM screening and original research). Quality articles were assessed using the CHEC-Extended tool. A total search of 1239 articles found 3 studies that met the inclusion criteria. A screening program is more cost-effective than no screening, this represents a savings of $1,329,671. The ICER value is less than 3x GDP per capita, which indicates that the intervention is cost-effective. Compared to two-step screening, one-step screening is more likely to be cost-effective since it detects more cases. As the prevention of DALYs is mainly due to the prevention of T2DM, middle-income countries should focus more on postnatal care for women with GDM in the future. It is advised that long-term follow-up studies be a major focus of future research in order to evaluate the follow-up GDM screening intervention's possible long-term health benefits and financial effects.
Factors Associated with Mothers’ Participation in Bringing Toddlers (Aged 12–36 Months) to the Integrated Health Post (Posyandu) in Helvetia Village, Sunggal Subdistrict, Deli Serdang Regency Samosir, Yohana; Simamora, Debora Lestari
COVID-19 : Journal of Health, Medical Records and Pharmacy Vol. 2 No. 02 (2025): COVID-19 : Journal of Health, Medical Records and Pharmacy
Publisher : CV. Devitara

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

The morbidity and mortality rates of mothers and children remain critical public health concerns in Indonesia. Posyandu (Integrated Health Service Post), as a Community-Based Health Effort (UKBM), plays a vital role in child health maintenance, especially through mothers' active participation in bringing their toddlers for health services. This study aims to identify the factors associated with mothers’ activeness in bringing toddlers (aged 12–36 months) to Posyandu in Helvetia Village, Sunggal Subdistrict, Deli Serdang Regency, in 2023. An analytical survey with a cross-sectional approach was employed, involving 72 mothers selected through purposive sampling. Data were collected using questionnaires and analyzed using the chi-square test. The results showed that the majority of mothers (66.7%) were inactive in taking their toddlers to Posyandu. There was a significant relationship between mothers’ activeness and knowledge (p=0.001), employment status (p=0.000), husband’s support (p=0.000), and attitude (p=0.000). Mothers with good knowledge, who were unemployed, received support from their husbands, and had a positive attitude were more likely to actively attend Posyandu. These findings highlight the importance of educational interventions and social support in increasing mothers’ participation in Posyandu, which is essential for optimizing child growth and development.
The Practice Of Interprofessional Collaboration On Childbirth With Hepatitis B Case Study At Rsu Imelda Pekerja Indonesia Medan samosir, yohana; Sulistyaningsih, Sulistyaningsih; Ratnaningsih, Sri
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 10, No 2 (2025): September
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v10i2.3198

Abstract

Penularan hepatitis B dari ibu ke janin dapat menimbulkan risiko lebih dari 90% bayi mengalami hepatitis B kronis. Praktik kolaborasi interprofesional dapat mencegah dan mengurangi risiko penularan serta meningkatkan keselamatan pasien. Tujuan: untuk mengeksplorasi lebih dalam dan memahami praktik kolaborasi interprofesional pada ibu melahirkan dengan Hepatitis B di RSU Imelda Buruh Indonesia. Penelitian kualitatif ini menggunakan desain embedded single case study dengan 10 informan: 1 dokter spesialis kandungan, 1 teknolog laboratorium medik (ATLM), 1 apoteker, dan 6 bidan. Wawancara mendalam dilakukan untuk memperoleh informasi, dan data dianalisis menggunakan perangkat lunak NVivo 12 Plus. Penelitian ini menggunakan triangulasi data dari dokter, bidan, ATLM, apoteker, dan ibu bersalin dengan Hepatitis, dianalisis menggunakan analisis tematik, analisis matriks, dan analisis pencocokan pola. Hasil penelitian ini mengidentifikasi alur kolaborasi dari Instalasi Gawat Darurat Obstetri, apotek, ruang bersalin, dan ruang nifas hingga pemberian serum imunoglobulin Hepatitis B pada bayi di ruang neonatus. Budaya kerja menunjukkan kepatuhan terhadap PPI dan pemberian serum tepat waktu kepada bayi untuk mencegah penularan. Dukungan institusional dan lingkungan mencakup penyediaan APD tanpa batas dan ketersediaan alat kesehatan. Nilai-nilai dan etika kolaboratif telah menjunjung tinggi hak atas privasi pasien dan saling menghormati antar profesi. Kendalanya meliputi kurangnya pelatihan bagi bidan dan tidak adanya SOP khusus untuk persalinan Hepatitis B. Harapannya adalah hal ini dapat meningkatkan pemahaman bidan tentang pendidikan dan pelatihan.
Co-Authors Ajeng Viska Icanervilia Annisa, Pariqa Astuti, Andari Wuri Br Karo, Deliana De Moniz, Maria Fatima Ratnaningrum, Asti Simamora, Debora Lestari Sri Ratna Ningsih, Sri Ratna Sulistyaningsih Sulistyaningsih