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All Journal Jurnal Kebijakan Kesehatan Indonesia Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Jurnal NERS Paediatrica Indonesiana Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) Jurnal Kesehatan Ibu dan Anak Journal of Community Empowerment for Health Journal of Nutrition Science Berita Kedokteran Masyarakat Jurnal Info Kesehatan

Abdul Wahab

Departemen Biostatistik Epidemiologi Dan Kesehatan Masyarakat, Fakultas Kedokteran, Kesehatan Masyarakat, Dan Keperawatan, Universitas Gadjah Mada, Yogyakarta, Indonesia

Author-ID : 8567602

Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary Other

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Paramater on Maternal Delivery Referral Process Zubaidah Zubaidah; Mohammad Hakimi; Abdul Wahab
Jurnal Ners Vol. 7 No. 2 (2012): Oktober 2012
Publisher : Universitas Airlangga

Introduction: The rate of maternal mortality in Indonesia according to 2002–2003 Indonesian Demographic and Health Survey (IDHS) was 307 per 100,000 live births. The direct causes of maternal deaths, among others, are prolonged labor, hemorrhage, infection, and preeclampsia. Referral system includes referring responsibility to better facilitated healthcare sites to obtain more adequate services. However, maternal referral process in Banjar District still faces some problems such as referral health providers with inadequate skills of handling emergency cases, insufﬁcient means of transportation, and no referral letter or partograph. Usually, when referred, the pregnant woman is only accompanied by her family so that she is brought to the referral site without being equipped with infusion. The objective of the study was to evaluate the parameter of maternal delivery referral in Ratu Zalekha Martapura District Hospital.Method: This study used observational study with a cross-sectional study design using quantitative and qualitative approaches. Samples were 107 delivering women referred to hospitals selected with non probability sampling. Data were analyzed with Chi-square (χ) and logistic regression test.Result: Quality maternal referral process resulted in healthy women 78.8%. Post delivery women's health was greater in quality maternal referral process (RP = 2.1; 95% CI = 1.28–3.52). Normal delivery had an opportunity towards post delivery women's health (RP = 1.6; 95% CI = 1.13–2.20). In addition, time needed to reach the referral sites and referral birth attendants were signiﬁcantly associated with maternal referral process (p = 0.002 and p = 0.002). Meanwhile, women's condition when referred was insigniﬁcant statistically.Discussion: Quality maternal referral process could likely improve post delivery women's health.Normal delivery affected the women's health condition.

Prevalence and clinical characteristics of rotavirus diarrhea in Mataram, Lombok, Indonesia Wayan Sulaksmana Sandhi Parwata; Wayan Sukardi; Abdul Wahab; Yati Soenarto
Paediatrica Indonesiana Vol 56 No 2 (2016): March 2016
Publisher : Indonesian Pediatric Society

diarrhea and dehydration among children aged <5 years in developed and developing countries, including Indonesia. There have been few studies on the prevalence of rotavirus diarrhea in Mataram.Objective To determine the prevalence and characteristics of rotavirus diarrhea in children under five years of age with acute diarrhea in Mataram.Methods A cross sectional study using the WHO Generic Protocol for Rotavirus Surveillance was conducted in the Nusa Tenggara Barat (NTB) General Hospital, Mataram, as part of a multicenter study by the Indonesian Rotavirus Surveillance Network (IRSN) for children under five years of age. Subjects were diagnosed with rotavirus diarrhea based on stool sample examinations, using RT-PCR for genotyping. They were admitted to the Pediatrics Ward of the NTB Provincial General Hospital from January to December 2010.Results Of 329 children admitted with acute diarrhea, 210 (63.8%) had rotavirus positive stool specimens. For the year 2010, the highest incidence of rotavirus infection was in the month of January (86.4%). Rotavirus infections were found in children less than 2 years of age (65.4%), with the highest prevalence in the age group of 6 to 23 months (68.5%). In addition to clinical symptoms of watery diarrhea, there was a significantly greater percentage of vomiting in rotaviral vs. non-rotaviral diarrhea (67.7% vs. 32.3%, respectively; P<0.05). The majority of G and P genotypes found were G1 (86%), G2 (12%), P[8] (66%), P[4] (12.8%), and P[6] (8%).Conclusion Rotavirus infections are the most common cause of acute diarrhea in children aged <2 years in Mataram, Indonesia.

Postpartum lactation counseling and exclusive breastfeeding: analysis of the 2017 Indonesian Demographic and Health Survey Warantika Rikma Yuniarini; Elisabeth Siti Herini; Abdul Wahab
Paediatrica Indonesiana Vol 61 No 1 (2021): January 2021
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi61.1.2021.25-33

Background The percentage of exclusive breastfeeding in Indonesia on 2018 dropped from 39.8% in infants aged 0 monthsto 15.3% in infants aged 5 months. According to the 2018 Indonesian Basic Health Research Survey (Riskesdas), an average of 37.3% of infants were exclusively breastfed until the age of 6 months. This rate is far from the target of 80% by Ministry of Health of Indonesia. Objective To assess for an association between postpartum counseling and the practice of exclusive breastfeeding in Indonesia. Methods This retrospective cohort study used data from the 2017 Indonesian Demographic and Health Survey (IDHS). The sample comprised 258 infants aged 6 months. Postpartum counseling and other variables were analyzed for possible associations with exclusive breastfeeding by Chi-square test; risk ratios (RR) with 95% confidence intervals (CI) were calculated. Logistic regression test was used to analyze for adjusted odds ratios. Results In 6 months period, the percentage of subjects who received postpartum counseling was 59.7% and who exclusively breastfed was 18.8%. There was no significant association between postpartum lactation counseling and exclusive breastfeeding. However, there were significant associations between exclusive breastfeeding and not using currently as well as maternal residence in rural areas. Conclusion Postpartum counseling on breastfeeding lacks a significant association with exclusive breastfeeding practice at 6 months of age. Therefore, the Ministry of Healthshould reevaluate the implementation of its counseling services.

Role benefits of the private practice midwife participation in national health insurance program Ria Chitra Dewi; Ali Ghufron Mukti; Abdul Wahab
Jurnal Kesehatan Ibu dan Anak Vol. 14 No. 2 (2020): November
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v14i2.917

Since 2014, Indonesia has launched the National Health Insurance program (JKN) through the Social Security Agency (BPJS) to improve public health, including reducing the Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR). It is expected all private health services including the private midwives are encouraged to participate in the JKN system. This study aims to determine the association between wage system with the participation of private midwives in JKN program. Case-control design was performed in this study. The subjects were private midwives in the Pekanbaru municipality, Indonesia. Private midwives who participated in JKN were determined as cases (45) while those who didn’t participate were identified as controls (45). Interview using structured questionnaire was conducted to collect quantitative data, while qualitative data was collected using indepth interviews. Chi-square and Odds Ratio with 95% Confident Interval were analysed to determine the association between midwives’ participation and benefits perception. The results showed that 85.6% of respondents indicated government reward incentives were lacking. The results of the analysis of statistical test Chi-Square obtained p-value of 0.001 with OR 16.0 (95% CI 1.98 to 129.27), which means midwives who participated in the program JKN were likely to have a sufficient reward perception 16 times greater than those who did not participate in the JKN.There is a relationship between private midwives’ participation in the JKN program with benefit system granted by the government.

Antenatal care visit frequency of short stature mother as risk factor of stunting among children aged 6 - 23 months in Indonesia (IFLS 5 Study Analysis) Herwinda Kusuma Rahayu; BJ Istiti Kandarina; Abdul Wahab
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 7 ISSUE 3, 2019
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/ijnd.2019.7(3).%p

ABSTRAKLatar Belakang: Stunting adalah gangguan pertumbuhan linear yang saat ini menjadi masalah utama kesehatan anak di negara berkembang yang berhubungan dengan morbiditas dan mortalitas. Berdasarkan hasil Riset Kesehatan Dasar, prevalensi stunting di Indonesia pada tahun 2018 masih tinggi, yaitu mencapai 30,8%. Salah satu faktor yang mempengaruhi terjadinya stunting adalah tinggi badan ibu yang pendek, dengan prevalensi sebesar 30,5%. Ibu hamil dengan tinggi badan pendek harus memperhatikan kondisi kesehatan selama kehamilan, salah satunya melalui pemeriksaan kehamilan atau antenatal care (ANC) dengan frekuensi pemeriksaan yang sesuai dengan standar. Metode: Penelitian ini adalah penelitian observasional yang menggunakan data sekunder dari penelitian longitudinal yaitu Indonesia Family Life Survey (IFLS) periode ke-5 yang dilaksanakan pada tahun 2014. Rancangan penelitian ini adalah kohort retrospektif. Analisis bivariat dilakukan menggunakan uji chi square, sedangkan analisis multivariat menggunakan uji regresi logistic. Uji statistik dilakukan menggunakan software Stata v13.Hasil: Hasil analisis bivariat diketahui bahwa frekuensi ANC ibu dengan tinggi badan pendek memiliki hubungan signifikan dengan kejadian stunting dengan nilai p=0,04 (RR=1,29; CI 95%=1,02-1,65). Hasil analisis multivariat frekuensi ANC dengan kejadian stunting yang mengikut sertakan variabel luar didapatkan bahwa BBLR merupakan penyebab terbesar kejadian stunting (OR=1,97; CI 95%=1,06-3,64)Kesimpulan: Frekuensi ANC yang sesuai perlu dilakukan oleh ibu hamil dengan tinggi badan pendek. Hal ini adalah upaya untuk mengoptimalkan status kesehatan, sehingga kejadian BBLR yang merupakan faktor risiko kejadian stunting tidak terjadi. Diperlukan strategi pemerintah untuk meningkatkan frekuensi kunjungan ANC dengan mempertimbangkan komponen pelayanan.Kata kunci: stunting; ibu dengan tinggi badan pendek; antenatal care; IFLS 5 ABSTRACT Background: Stunting is linear growth retardation that associated with morbidity and mortality. Prevalence of stunting in Indonesia on 2018 is high, 30,8%. One of the factors that influence stunting is short stature mother. Pregnant women with short stature should concern to their health conditions during pregnancy, through antenatal care (ANC) with frequency that are in accordance with the standards.Method: This study was an observational study using the secondary data of the 5th wave Indonesian Family Life Survey (IFLS) on 2014. The design of this study was a retrospective cohort. . Bivariate analysis was performed using the chi square test, while the multivariate analysis used a logistic regression test. All analyses were performed in Stata v13.Results: Bivariate analysis showed that the ANC frequency of short stature mother had a significant relationship with stunting (p=0.04; RR= 1.29; CI 95%= 1.02-1.65). Multivariat analysis showed that low birth weight is the main cause of stunting (OR=1,97; CI 95%=1,06-3,64)Conclusion: ANC visit essential for short height mother to optimize their health status, so low birth weight which is a risk factor for stunting does not occur. Strategies are needed to improve the frequency and components of ANC services Keywords: stunting; short height mother; antenatal care; IFLS 5

Pengkayaan ilmu petugas puskesmas sebagai langkah penurunan angka anemia di Kabupaten Sleman Emy Huriyati; Tri Ratnaningsih; Abdul Wahab; Arta Farmawati; Nur Imma Fatimah Harahap; Ainun Nisa
Journal of Community Empowerment for Health Vol 1, No 1 (2018)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

ABSTRAK Fokus Dinas Kesehatan Kabupaten Sleman untuk penanggulangan anemia dewasa ini bukan hanya pada ibu hamil saja, melainkan sudah dimulai dari remaja puteri, jauh sebelum mereka hamil. Langkah pemerintah dalam menanggulangi anemia dengan adanya suplementasi besi dikhawatirkan tidak tepat sasaran. Sejauh ini deteksi anemia oleh petugas puskesmas hanya sebatas pemeriksaan haemoglobin saja dan kejadian anemia yang terdeteksi masih bersifat general, tidak spesifik anemia defisiensi besi. Subjek dalam kegiatan ini adalah petugas puskesmas meliputi dokter, ahli gizi dan ahli teknologi laboratorium medis yang diambil secara purposive sampling. Metode yang diterapkan dalam kegiatan ini adalah pelatihan dengan rangkaian kegiatan yaitu penyuluhan dengan pre-test dan post-test, tutorial kasus, dan praktikum. Analisis data hasil kegiatan menggunakan uji paired t-test antara nilai pre-test dan post-test. Uji statistik dikatakan signifikan bila p-value kurang dari 0,05. Total peserta yang mengikuti kegiatan adalah 71 orang dari target awal 75 orang (persentase kedatangan= 94,67%). Pelatihan terkait anemia defisiensi besi untuk petugas puskesmas dapat meningkatkan tingkat pemahaman sebesar 32,82 poin (p<0,0001), yang merupakan delta kenaikan nilai pre-test dan post-test. Pemilihan metode untuk kegiatan pelatihan dirasa sudah tepat dengan pertimbangan hasil evaluasi kegiatan menunjukkan sebagian besar peserta kegiatan menilai metode pelatihan efektif atau sangat efektif (74,7%). Program pelatihan dapat meningkatkan pemahaman petugas puskesmas di Kabupaten Sleman terkait anemia defisiensi besi.KATA KUNCI pelatihan; puskesmas; pengetahuan; anemia defisiensi besi ABSTRACT The focus of the Sleman District Health Office in the prevention of anemia is not only on pregnant women anymore as it currently involves young women, long before they become pregnant. The government's step in overcoming anemia with iron supplementation is argued to fail to hit the target. So far the detection of anemia by health center officials is only limited to hemoglobin examination, indicating that the detection of anemia is still general and not specific to iron deficiency anemia. The subjects of this study were community health center staffs including doctors, nutritionists and medical laboratory technology experts who were picked by purposive sampling. The methods used were training with a series of activities: education with pre-test and post-test, case tutorials, and practicum. Paired t-test was performed to compare the difference of value between pre-test and post-test. P-value of less than 0.05 was considered statistically significant. The total participants who took part in the activity were 71 people from the initial target of 75 people (percentage of arrivals = 94.67%). Training related to iron deficiency anemia for health center officers can increase the level of understanding by 32.82 points (p <0,0001). The methods chosen for training activities were considered appropriate with around three-quarters (74,7%) of the participants rated the training method effective or very effective. The training program can improve the understanding of health center staff in Sleman Regency regarding iron deficiency anemia.KEYWORDS training; community health center; knowledge; iron deficiency anemia

Prevalence of urinary incontinence and its association with the body mass index (BMI) among pregnant women in Ternate Island Adi Ariffianto; Ova Emilia; Edi Patmini Siswanti; Abdul Wahab
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 50, No 4 (2018)
Publisher : Universitas Gadjah Mada

Urinary incontinence, a condition where a patient cannot withhold urinating, can cause health, social and psychological problems. This condition is not life threatening but can affect their quality of life due to the difficulties of treatment in the psychological and social problems. Even though this disorder is common in pregnancy, the exact cause is still unknown. Many researchers assert that urinary incontinence is due to multifactorial causes. This study aimed to determine the prevalence of urinary incontinence in pregnant women and its relationship with body mass index (BMI). A cross sectional study involving 224 pregnant women in the primary health centers on Ternate Island was conducted using the Questionnaire for Urinary Incontinence Diagnosis (QUID). Respondents with a history of urinary incontinence without pregnancy or positive urinary tract infection diagnosis were excluded from this study. Data were gathered through interviews and physical examinations. The total prevalence of urinary incontinence was 28.6%. Urge incontinence (39.0%) was the most common type followed by mixed (37.5%) and the least common was stress incontinence (23.4%). There was a significantly association between urinary incontinence and maternal BMI (p=0.045). Urinary incontinence occured as much as 2.167 (95% CI: 1.008 - 4.656) times greater in pregnant women with obesity than those who had an ideal BMI. In conclusion, urge incontinence is the most common type of urinary incontinence. There is a significant correlation between urinary incontinence and the BMI of pregnant women, especially in obese women.

PENGELOLAAN KESEHATAN REPRODUKSI PENGUNGSI PASCA GEMPA DI KABUPATEN LOMBOK TIMUR Nurhidayati Nurhidayati; Retna Siwi Padmawati; Abdul Wahab
Berita Kedokteran Masyarakat (BKM) Vol 36, No 6 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.45761

Background: MISP (minimum initial service package) is a guideline for post-disaster reproductive health services. After the earthquake in East Lombok Regency, reproductive health services, according to the MISP standards, need to be seen. Suppose the condition does not comply with the standard. In that case, it will cause many pregnant and lactating women and infants and toddlers to be threatened with the quality of their health and safety. It will have an impact on increased maternal and infant mortality rates.Purpose: Describe the management of reproductive health in pregnant women, women giving birth / postpartum mothers with newborns among IDP victims of the earthquake disaster in East Lombok Regency.Research Methods: This research is a qualitative study with a case study design. In-depth interviews were conducted with 21 informants consisting of 6 stakeholders from the East Lombok District Health Office, four service providers, nine service recipients, and two cross-sectoral. Secondary data and document studies were also used as data sources.Result: Most informants have never heard of the term MISP, and the management of IDPs' reproductive health after the earthquake was not well organized. The organizational structure for managing the district-level health care program, both during the emergency response and rehabilitation phase, has not yet been formed. However, health workers' types of service activities such as midwives, nurses, and doctors from unaffected puskesmas are still running. These activities include ANC, delivery assistance, high-risk detection, and case referral. Family planning services and contraceptives, and the need for romance tents are not provided. As a result, there was an increase in mothers and neonates' high-risk cases and an increase in pregnant women K1 during the rehabilitation period. Provision of the "Kespro" tent for delivery services, pregnant women, and maternity services is available in collaboration with overseas organizations, but there is only one for the entire district. Apart from limited facilities and logistics and sanitation, officers are also less sensitive to other basic needs.Conclusion: There is a gap between the services provided and the minimum initial service package, which is the standard for reproductive health services in crisis times. Preparation of the local government through the relevant regional apparatus organizations is required to immediately prepare a Disaster Management Plan at all stages, starting from comprehensive mitigation, contingency, emergency response, and rehabilitation plan.

Hubungan Kualitas Pelayanan Kunjungan Neonatal Pertama (KN1) dengan Kematian Neonatal: Analisis Data SDKI 2017 Rizka Aziza Darwis; Abdul Wahab; Mohamad Hakimi
Berita Kedokteran Masyarakat (BKM) Vol 36, No 10 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.56832

AbstrakTujuan: Mengkaji hubungan kualitas pelayanan KN1 dengan kematian neonatal di Indonesia. Metode: Penelitian menggunakan data sekunder Survei Demografi dan Kesehatan Indonesia (SDKI) tahun 2017 dengan desain kohort retrospektif. Sampel penelitian adalah kelahiran hidup 2 tahun sebelum survei dari wanita 15-49 tahun yang memenuhi kriteria inklusi dan eksklusi sebanyak 6.561 bayi lahir hidup. Hubungan karakteristik pelayanan KIA, neonatal dan ibu dengan kematian neonatal dianalisis dengan uji chi square dan regresi logistik berganda. Hasil: Bayi yang mendapatkan KN1 berkualitas berisiko 98% lebih rendah untuk mengalami kematian neonatal (aOR=0,02; 95%CI=0,00-0,44) sedangkan bayi yang mendapatkan pelayanan KN1 tidak berkualitas berisiko 52% lebih rendah untuk mengalami kematian neonatal (aOR=0,48; 95%CI=0,26-0,9) dibandingkan dengan bayi yang tidak mendapatkan pelayanan KN1 setelah mengontrol variabel berat badan lahir dan jenis kelamin bayi. Kesimpulan: Bayi yang menerima pelayanan KN1 yang berkualitas, bayi dengan berat badan lahir ≥2500 gram dan bayi perempuan berisiko lebih rendah untuk mengalami kematian neonatal. Upaya pencegahan kematian neonatal hendaknya difokuskan pada upaya peningkatan kualitas pelayanan KN1 serta pencegahan dan perawatan bayi berat badan lahir rendah (BBLR).

HUBUNGAN AKTIVITAS FISIK DENGAN KEJADIAN DISMENORE PRIMER PADA REMAJA PUTRI DI PONDOK PESANTREN AL-FALAH GORONTALO Mursyidah Khairiyah; Abdul Wahab; Ova Emilia
Berita Kedokteran Masyarakat (BKM) Vol 36, No 11 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.57244

AbstrakTujuan : Untuk membuktikan apakah terdapat hubungan antara aktivitas fisik dengan kejadian dismenore pada remaja putri. Metode : Penelitian ini merupakan penelitian observasional analitik dengan menggunakan studi desain cross-sectional. analisis inferensial menggunakan uji Chi square serta dilanjutkan dengan analisis regresi logistik. Hasil : analisis multivariabel menunjukkan adanya hubungan yang bermakna antara aktivitas fisik dengan dismenore primer dilihat dari nilai P-value 0,023 dan 0,0003 nilai PR = 3,48 dan 3,6. Variabel luar yang memiliki hubungan yang bermakna dengan dismenore primer adalah IMT/U dengan kategori gemuk nilai P-value 0,011 dan nilai PR 0,30, KEK dengan dengan nilai P-value 0,001 PR 3,20, menarche dengan nilai P-value 0,005 dan 0,025, nilai PR 2,92 dan 10,6. Kesimpulan : Aktivitas fisik rendah dan sedang berisiko lebih tinggi untuk mengalami dismenore primer dibandingkan dengan yang memiliki aktivitas fisik tinggi. Faktor yang berhubungan dengan kejadian dismenore primer adalah IMT/U dengan gemuk, Status KEK dengan LILA <23,5, Usia menarche <12 tahun dan >13 tahunKata kunci : Aktivitas Fisik, Dismenore, Remaja

Co-Authors Adi Ariffianto Ainun Nisa Ali Ghufron Mukti Amalliyah, Puji Amirah Ellyza Wahdi Arta Farmawati Bambang Edi Susyanto Bernadette Josephine Istiti Kandarina Cici Permata Rusadi Cici Permata Rusadi Citra Indriani Djaswadi Dasuki Edi Patmini Siswanti Elisabeth Siti Herini Emy Huriyati Harumanto Sapardi Herwinda Kusuma Rahayu Lisma Evareny, Mohammad Hakimi, Retna Siwi Padmawati Lutfan Lazuardi Martalena Br Purba, Martalena Br Mohamad Hakimi Mohammad Hakimi Mursyidah Khairiyah Ningxin Zhu Noviyanti Fahdilla Nur Imma Fatimah Harahap Nurhidayati Nurhidayati Ova Emilia R Dwi Budiningsari Retna Siwi Padmawati Ria Chitra Dewi Rizka Aziza Darwis Siti Masdah Syifa Nurul Asma Tindaon, Rotua Lenawati Tri Ratnaningsih Valendra Haamiim Warantika Rikma Yuniarini Wayan Sukardi Wayan Sulaksmana Sandhi Parwata Windra Yanti Yati Soenarto Zubaidah Zubaidah

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