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Journal : Berita Kedokteran Masyarakat

Neonatal survival analysis: the relationship between neonatal mortality and the number of antenatal care visits (2017 Indonesia Demographic and Health Survey) Cahyanti, Betri; Ratrikaningtyas, Prima Dhewi; Wiratama, Bayu Satria
BKM Public Health and Community Medicine Vol 40 No 11 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i11.14461

Abstract

Purpose: In 2021, the number of under-five child deaths in Indonesia reached 27.566, with 28.158 (73,1%) of these being neonatal deaths. Indonesia implemented a minimum of four prenatal visits (K4) in 2019. The number of antenatal care (ANC) visits according to WHO standards has not been fully implemented nationwide in Indonesia. This study aims to analyze neonatal survival related to the number of ANC visits and neonatal death incidents based on the 2017 IDHS data. Methods: This study used a cross-sectional method with data from the 2017 IDHS. The sample included women of childbearing age (15-49 years) who had given birth within five years before the survey and had recorded ANC visits during their last pregnancy. Data analysis was performed using descriptive life-table and Kaplan-Meier Curve, bivariate analysis using Log Rank Test, and multivariate analysis using Cox Regression. Results: The study involved 13.826 women of childbearing age who were survey respondents. Univariate analysis showed that most respondents were at low risk during pregnancy (73.55%), belonged to the lowest wealth quintile (22.18%), and had a high education level (52.91%). Most babies were born with normal birth weight (92,89%) and were male (51,43%). The majority of ANC visits fell into the K6 category (47,59%). Kaplan-Meier survival analysis showed significant neonatal deaths within the first five days, with the survival probability dropping to 99,50% by the fifth day. Multivariate analysis identified maternal age, birth weight, baby's sex, and place of delivery as significant factors affecting neonatal mortality. Higher maternal age, lower birth weight, and male sex increased the risk of neonatal death, while delivering in a health facility was associated with higher neonatal mortality. Conclusion: The study found that ANC visits were significant in the K6 and K8 categories. However, when multivariate analysis was performed, the significance was lost when the birth weight variable was included. Most ANC visits were in the K6 category, which is Indonesia's standard for at least six antenatal visits. Maternal age, baby's sex, birth weight, and the number of babies significantly affected neonatal survival. The neonatal mortality rate was 6,4 per 1.000 live births.
Perception regarding hypertension treatments and prevention of hypertension complications among individuals with hypertension Dewi, Trisna Setya; Prabandari, Yayi Suryo; Ratrikaningtyas, Prima Dhewi
BKM Public Health and Community Medicine Vol 38 No 02 (2022)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v38i02.3782

Abstract

Purpose: This study aims to explore hypertension patients' perceptions about hypertension treatments and preventing hypertension complications. Method: This study was qualitative and phenomenological. Informants were selected using purposive sampling. The study was performed on 12 individuals with hypertension, three family members of an individual with hypertension, and one health worker. Data were collected using in-depth interviews and a semi-structured interview guide. This study's trustworthiness was achieved using triangulation data sources and member checking. Results: Informants in this study perceived that hypertension treatments consist of pharmacological and herbal treatments. Informants who stopped taking antihypertensive admitted that they did not feel the effectiveness of antihypertensive and felt more effective with herbal treatments. They were also afraid of the long-term side effects of drugs and thought that herbal treatments had no long-term side effects. The informants who felt the effectiveness of antihypertensive regularly continued the treatment and combined it with herbal treatment. The treatments carried out by the informant aim to prevent complications of hypertension; besides that, the informant also believes that a healthier lifestyle can prevent complications. Conclusion: The effectiveness of hypertension treatments that individuals feel can affect their' continuation of the treatments they did. The individuals who did not feel the benefits of treatment tend to take another treatment that is considered more effective. Their concern about hypertension complications is the reason for their adherence to both pharmacological and herbal treatment.
The feeling of fear of families with stroke survivors to the threat of COVID-19 Sari, Lusia Lero Maya; Ratrikaningtyas, Prima Dhewi; Supriyati
BKM Public Health and Community Medicine Vol 38 No 04 (2022)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v38i04.4281

Abstract

Purpose: The purpose of this study was to explore the fear feeling of family and the threat of COVID-19 in stroke survivors. Methods: This study uses a qualitative method with a phenomenological research design. This study is a nested research in the population of HDSS Sleman, so it uses secondary data from stroke survivors' information. The research informants amounted to 8 people. Data collection was carried out in July-August 2021 in Kecamatan Depok Kabupaten Sleman. In-depth interviews and photo documentation were carried out in data collection. Data were analyzed using OpenCode version 4.2. Results: The health status of the stroke survivors at the time of the interview had recovered before the pandemic, died during the pandemic but was not caused by COVID-19, and were still in a state of stroke. All informants or families of stroke survivors showed the same fear response to the threat of COVID-19. Families who care for stroke survivors think that those who are at risk and vulnerable to being exposed to COVID-19 are older people and those who have comorbidities. Fear arises because it is influenced by the perception of oneself and the surrounding environment. There are fears in the form of the assumption that they might be exposed when carrying out examinations and treatment at health facilities, fear of doing swabs, and the financing of COVID-19 testing and the number of positive cases. Conclusion: The fear of the vulnerability of stroke survivors when exposed to the COVID-19 virus is shown by families of stroke survivors by avoiding visits to health facilities, be it puskesmas or hospitals, and choosing to anticipate themselves at home. The fear of the families of stroke survivors must be a concern for the healthcare institutions that protect them so that treatment and health services for stroke survivors with comorbidities during the pandemic can still be achieved.
Health education needs in chronic kidney disease patients with continuous ambulatory peritoneal dialysis therapy at Dr. Saiful Anwar Hospital, Malang: a qualitative study Tsaqiba, Tsania Nurjihan; Padmawati, Retna Siwi; Ratrikaningtyas, Prima Dhewi
BKM Public Health and Community Medicine Vol 40 No 08 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i08.12576

Abstract

Purpose: This study aims to describe the need for health education programs for Chronic Kidney Disease (CKD) patients undergoing Continuous Ambulatory Peritoneal Dialysis (CAPD) therapy at Dr. Saiful Anwar Hospital, Malang. Methods: This research employs a qualitative case study approach. Data collection was conducted through in-depth interviews and observations of 18 informants. Results: Patients with chronic kidney disease (CKD) undergoing continuous ambulatory peritoneal dialysis (CAPD) at Dr. Saiful Anwar Hospital in Malang have shared various experiences related to their treatment. For instance, these patients have expressed concerns about being advised against pregnancy. A notable advantage of CAPD therapy is that it allows for fewer dietary restrictions, enabling patients to consume a broader range of foods. However, many CAPD patients also experience feelings of sadness and depression related to their condition. To address these challenges, patients in CAPD therapy require regular health education. Education can be provided through both online and offline methods, with sessions planned every one to six months. Health education content: CKD patients undergoing CAPD therapy require additional content tailored to their specific needs, considering the duration of CAPD use. Novice patients need health education about psychological conditions. Meanwhile, intermediate patients need content about new types of CKD therapy, psychological treatment, vitamins and drugs, and lifestyle for CAPD patients. Long-time patients require content on mental and physical activity, as well as guidance on maintaining healthy bones and skin. Conclusion: CKD patients with CAPD therapy have a positive perception and require additional health education activities regularly. Health education content can be customized to suit the patient's condition and the duration of Continuous Ambulatory Peritoneal Dialysis (CAPD). The delivery of health education for Chronic Kidney Disease (CKD) patients undergoing CAPD therapy can be conducted through group sessions, individual consultations, or mass methods, including the use of patient WhatsApp groups.
Behavior of mothers and teachers in providing education on menstrual hygiene to adolescent girls with autism spectrum disorder (ASD) Girsang, Ruth Roselin; Prabandari, Yayi Suryo; Ratrikaningtyas, Prima Dhewi
BKM Public Health and Community Medicine Vol 37 No 05 (2021)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v37i05.22043

Abstract

Purpose: Persons with disabilities are divided into four categories: persons with physical, intellectual, mental, and sensory disabilities. Social and communication dysfunctions are symptoms of an autism spectrum disorder (ASD). This study aims to explore the methods used by mothers and school teachers in providing menstrual hygiene education to adolescent girls with ASD. Methods: This research consists of two steps: a systematic review using meta-synthesis, and a qualitative approach through semi-structured interviews conducted with participants at two different locations in D.I. Yogyakarta. Results: The combination of the two methods obtained: 1) Communication and education. Categories: mother-child relationships, and modes of communication with ASD; 2) The role of mothers and teachers; 3) Obstacles encountered. Categories: communication, rejection, and mother’s feelings; 4) Mother’s worries. Categories: children’s independence, interactions with friends, and the child’s future. Conclusion: Mothers and teachers provide menstrual hygiene information through early introduction, continuous repetition, associating words with relevant concepts, and using electronic media as an educational tool.