Ayu Cahyaningtyas
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An evaluation of integrated antenatal care program in Bantul District on 2019 - 2020 Ayu Cahyaningtyas; Aryanto, Samsu; Hidayati, Titiek
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Objective: Maternal mortality has become the second cause of women mortality in reproductive ages after HIV/AIDS (WHO, 2019). Bantul District is one of the districts in Yogyakarta which has the highest maternal mortality rate with 20 cases reported in 2020. Based on the result audit of maternal perinatal in Bantul District, it was found that most of the maternal mortality caused by the lack of early detection by health workers and community, caused the referral management leads. This evaluation purpose to identify the implementation and success of an integrated antenatal care program in Bantul District. Method: This evaluation program was using descriptive study design. The evaluation program was conducted in 17 community health centers and health office Bantul District in December 2020 – February 2021. The respondents were 35 people which consisted of the head of community health centers, coordinating midwife and Bantul District health officer. The data were collected using questionnaires. Result: In 17 community health centers, four of them (23,53%) have integrated antenatal care 100%. Eight of community health centers (47,01 %) stated that lack of cooperation by related health workers and lack of time in integrated antenatal care services. Four of the community health centers (23,53 %) stated that the quantity of health workers were limited especially with a large workload. One of the community health centers stated that ambulance drivers are not ready 24 hours (still on call) at the time of antenatal care services. Conclusion: The most of community health centers were felt constrained by the lack of cooperation by related health workers and lack of time in integrated antenatal care services. Improving the quality of integrated antenatal care and strengthening cooperation with related health workers can improve the integrated antenatal care services and prevent maternal mortality in Bantul District.
Food poisoning outbreak caused dioscorea hispida dennst in Gading 10 Village, Gunung Kidul, Yogyakarta august 2020: a case report study Ayu Cahyaningtyas; Aryanto, Samsu; Hidayati, Titiek
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Objective: On August 12 2020, a food poisoning outbreak occurred in Gading 10 Village Gunung Kidul District. Health office of Gunung Kidul District were revealing three attendances who hospitalized in the hospital of Nur Rohmah after consuming gadung tubers (dioscorea hispida dennts.) and one of them passed away. Based on the information, we were doing an epidemiological investigation immediately to make sure of the existence of the outbreak. This study aimed to investigate the causative agents, source of food poisoning and mode of food poisoning transmission in Gading 10 Village. Method: This epidemiological investigation was using case report study design. Case defined as any residence who consumed gadung tubers in Gading 10 Village on August 12 2020. The data were collected using food poisoning questionnaire and medical record. Results: Based on the investigation results, three villagers who consumed gadung tubers were ill (100%) and one of them) was passed away (33,33%). The incubation period was around 5 minute until 4 hours. The predominate symptoms were vomiting, nausea, and headache. Gadung tubers (dioscorea hispida dennts.) was determined as the source of this food poisoning outbreak. Based on the incubation period and symptoms to the comparison diagnosis, dioscorine agent are suspected to be the cause of this food poisoning outbreak. Conclusion: The most likely source of contamination based on incubation period and symptoms was Dioscorine. Food poisoning outbreak was occurred in Gading 10 Village, Gunung Kidul District on August 12 2020. We recommend strengthening intervention community health education about safe processing gadung tubers for consumption.