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Uncovering Barriers to Maternal Mortality Audits: An Unseen Challenge Ishlahi, Salsabila Dinda Nuril; Octora, Metta; Barirah, Ratih; Danianto, Ario
Jurnal Ilmu Kesehatan Masyarakat Vol. 15 No. 3 (2024): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2024.15.3.371-386

Abstract

Indonesia has the third highest maternal mortality rate in ASEAN. The Maternal Perinatal Death Surveillance and Response (MPDSR) program was established to reduce the high maternal mortality rate. However, the effectiveness of maternal audit implementation still faces many obstacles. This study aims to describe the obstacles faced by the MPDSR team in assessing maternal mortality in Lombok Island. We used qualitative study with case study design through in-depth interviews with nine informants from two MPDSR program holders at the Health Offices and one Maternal Perinatal Death Notification (MPDN) coordinator at the West Nusa Tenggara Health Office in 2022. Data were analyzed using the thematic analysis approach. Triangulation were done by method triangulation, triangulation between researchers, triangulation of data sources, and theoretical triangulation. The results showed that the problems faced by the MPDSR team, including ineffective of MPDSR socialization, budget limitations of MPDSR activities, feature issues in the MPDN, the ratio between labor and workload was less than ideal, incomplete and delayed collection of maternal mortality data, lack of communication between MPDSR teams, health workers have not been trained in the data entry process, labor outside of medical supervision, no monitoring of maternal mortality cases in wards other than obgyn, health workers did not understand the ICD-10 code, the assessment was still conducted in a hybrid, not all maternal death cases were assessed, blaming culture, and suboptimal monitoring of the sustainability of MPDSR recommendation. Therefore, it was necessary to establish discussion to find strategies and solutions based on a priority scale.
Potential of Curcumin in Curcuma Longa as an Alternative Therapy for PCOS: A Literature Review Ishlahi, Salsabila Dinda Nuril; Octora, Metta
Jurnal Biologi Tropis Vol. 24 No. 3 (2024): July - September
Publisher : Biology Education Study Program, Faculty of Teacher Training and Education, University of Mataram, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jbt.v24i3.7481

Abstract

Polycystic ovary syndrome (PCOS) is a common reproductive endocrine hormone disorder in women of childbearing age with a global incidence of 8-13%. The use of medical drugs in the long term can cause serious side effects so that the utilization of curcumin contained in Curcuma longa can be an alternative therapy consideration for PCOS. This paper will discuss the potential and benefits of curcumin content as an alternative therapy for PCOS. The method used, namely by reviewing the literature in national and international journals that are in accordance with the objectives of the review. The results of the literature review show that curcumin has effectiveness in treating PCOS through various mechanisms of action accompanied by minimal side effects. Alternative therapy of PCOS by taking curcumin needs to consider the dose, duration of use, and further research with larger subjects in assessing its effectiveness and side effects. However, it is suspected that nanocurcumin formulations have higher bioavailability and solubility than free curcumin, giving it even greater potential in the treatment of PCOS in the future. In conclusion, curcumin has the potential as an alternative therapy for PCOS that requires further research to achieve the optimization of PCOS treatment in the future.
Potential of Ulva lactuca and Sargassum duplicatum as Antihyperglycemic Agents in Type 2 Diabetes Mellitus Aunurrahman, Muhammad Rezky Audia; Putri, Atina Rizki; Ishlahi, Salsabila Dinda Nuril; Putri, Radiah Meilani; Tito I.P.N, Anak Agung Bagus; Rizaldi, Muhammad Hilman; Dewi, Citranggana Prajnya
Jurnal Biologi Tropis Vol. 24 No. 4 (2024): Oktober - Desember
Publisher : Biology Education Study Program, Faculty of Teacher Training and Education, University of Mataram, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jbt.v24i4.7756

Abstract

Type 2 diabetes mellitus (DM) is a metabolic disease that occurs chronically and is characterized by elevated blood glucose levels. Current treatment of type 2 DM is with long-term oral hypoglycemic drug therapy, which is known to have side effects, such as kidney and liver disorders, so there is a need for drugs that have minimal potential side effects such as the use of Ulva lactuca and Sargassum duplicatum from seaweed. This paper will summarize the antihyperglycemic effects of Ulva lactuca and Sargassum duplicatum. The method used by researchers in this research is a literature study writing method that uses literature sources through Google Scholar and several credible websites such as Pubmed with the last 10 years of searches for articles and journals in Indonesian and English. The results of this study indicate that there is antidiabetic content in seaweed with Ulva lactuca and Sargassum duplicatum so that its use can be used as a complementary medicine. Therefore, treatment using seaweed with Ulva lactuca and Sargassum duplicatum has the potential to be developed to become a drug with minimal side effects in the treatment of type 2 DM in Indonesia.