Proceedings of the International Conference on Applied Science and Health
Proceedings of the International Conference on Applied Science and Health is a conference collection of technical papers freely accessible to scholars over the world. Articles featured vary areas of efforts to develop health and well-being for better society such as factors of illness, epidemiology, health promotion, health policy, nutrition, environmental health and safety, nursing and midwifery, and other sciences related to health development.
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<![CDATA[DETERMINANTS OF EARLY MARRIAGE IN INDONESIA: A SYSTEMATIC REVIEW ]]>
<![CDATA[Windiarti, Sri]]>;
<![CDATA[Besral, Besral]]>
<![CDATA[ Proceedings of the International Conference on Applied Science and Health No 3 (2018) ]]>
Publisher : <![CDATA[Proceedings of the International Conference on Applied Science and Health ]]>
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<![CDATA[Background: Early marriage is a formal or informal marriage that entered by individuals before the age of 18. In Indonesia, the marriage age is legally regulated in the Marriage Law with age limit of 16 years for female. This phenomenon contributed to the high number of early marriages and its impacts on maternal and child health. This study aims to examine the determinants of early marriage in Indonesia. Methods: Journal articles were collected by searching in academic article database, such as Scopus, Google Scholar, Pubmed from 2016 to 2018. Authors used the PRISMA-P protocol (Prefed Reporting Items for Systematic review and Meta-Analysis Protocols) in 2009 as systematic writing guidelines. Results: Determinants of early marriage in Indonesia were unwanted pregnancy, peer influence, parent role, education level, knowledge of reproductive health, family economic status, culture, and media exposure. Conclussions: Reviewing Indonesian marriage law is needed to reduce early marriage cases in Indonesia. Improving quality of reproductive health services, improving womens education and improving the economic status of the family is equally important to prevent early marriage and improve maternal and child Health in Indonesia. ]]>
<![CDATA[MAIN SOURCES OF SUGAR INTAKE OF ADOLESCENTS IN DAERAH ISTIMEWA YOGYAKARTA PROVINCE, INDONESIA ]]>
<![CDATA[Saleky, Yohannes Willihelm]]>;
<![CDATA[Rojroongwasinkul, Nipa]]>
<![CDATA[ Proceedings of the International Conference on Applied Science and Health No 3 (2018) ]]>
Publisher : <![CDATA[Proceedings of the International Conference on Applied Science and Health ]]>
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<![CDATA[Background: There was 16.9% of population in Daerah Istimewa Yogyakarta (DIY) Province with excess sugar intake, higher than national prevalence 4.8%. Nevertheless, there has not been studied yet about sugar intake of adolescents in this province. The adverse effects of excessive sugar intake leads to cardiovascular diseases (CVDs) and type 2 diabetes mellitus, directly and indirectly through body weight and fat gain in later life. Twenty to forty percent of overweight adolescents are twice likely to develop CVD and seven times greater risk of atherosclerosis. Thus, it is important to prevent NCDs since the behaviours established during adolescent have life-long consequences particularly regarding NCDs in DIY Province. This study aims to assess the daily sugar intake and the main sources of sugar of adolescents in DIY province, Indonesia. Methods: This is an observational study with cross sectional design with the targeted population of all the adolescents aged 15 to 17 years old in urban and rural area of Daerah Istimewa Yogyakarta province, Indonesia. Four schools were chosen with the total sample of 380 students. Four instruments were used in this study i.e. general information questionnaire, semi-quantitative food frequency questionnaire (SFFQ), digital weighing scale and BIA analysis, and microtoise. Mann Whitney test was used to analyze the difference of daily sugar intake between urban and rural area. Statistical tests were considered as significant at P <0·05. Results: Means of daily sugar intake of adolescents were 107.0 g and 87.4 g in urban and rural area respectively. In urban area, the minimum intake of sugar was 15.2 g/day and the maximum intake of sugar was 317.2 g/day. Whereas in rural area, the minimum intake of sugar was 17.2 g/day and the maximum sugar intake was 87.4 g/day. There was a significant difference between average daily sugar intake of adolescents in urban and rural area (P= 0.004). Conclusion: The main sources of sugar intake of adolescents both in urban and rural area were sweetened beverages, additional foods and sweet snacks respectively. ]]>
<![CDATA[THE COGNITIVE SCREENING IN CHILDREN UNDER FIVE YEARS OLD IN DEVELOPING COUNTRIES: A SYSTEMATIC LITERATURE REVIEW ]]>
<![CDATA[Aisah, Siti]]>;
<![CDATA[Siregar, Kemal Nazarudin]]>
<![CDATA[ Proceedings of the International Conference on Applied Science and Health No 3 (2018) ]]>
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<![CDATA[Background: Stunting or being too short affects one-third of children under five years old in developing countries. Stunting has long-term effects on cognitive development, school performance and economic productivity in adulthood. Early detection of cognitive impairment caused by stunting offers rapid strategies for reducing stunting by examine the consequence on cognitive development. Reliable assessment tools are necessary to properly track cognitive development caused by stunting. This study identifies that the use of appropriate cognitive assessment tools assists in early detection of the impact of stunting in children under five years old in developing countries. Methods: Systematic literature review using PRISMA-P guidelines were applied for this study. Studies were identified from 4 electronic sources (Scopus, Science Direct, EBSCO and Google Scholar) from 2015 to 2018 using relevant keywords. All studies were conducted on children under five years old in developing countries. The used studies for this review are limited to full-text in English and Bahasa Indonesia. Studies conducted from 19 April to 11 May 2018. Results: From 492 studies that have been extracted, there are 10 studies reported the cognitive impairment assessment tools for under five years old children used in developing countries. The satisfying assessment tools in eligibility criteria are Bayley Scales of Infant Development (BSID III), the Indonesian child development pre-screening questionnaire (Kuesioner Pra-Skrining Perkembangan/KPSP ) and Denver Developmental Screening Test (DDST II). They appear promising to be used in identifying and monitoring cognitive development of children in developing countries. Conclusions: In the context of stunting in children under five years old, rapid assessment of cognitive ability is feasible for routine clinical use. The BSID III, KPSP and DDST II are the most common used in developing countries and they have moderately good accuracy to detect the cognitive impairment. ]]>
<![CDATA[PERCEIVED INSUFFICIENT MILK (PIM) AMONG MOTHERS OF 0-6 MONTHS INFANTS IN CIPAYUNG HEALTH CENTRE, DEPOK INDONESIA: A QUALITATIVE STUDY ]]>
<![CDATA[Bakara, Stella Maris]]>;
<![CDATA[Fikawati, Sandra]]>
<![CDATA[ Proceedings of the International Conference on Applied Science and Health No 3 (2018) ]]>
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<![CDATA[Background: Exclusive breastfeeding is breast milk given to infant since their birth to the age of 6 (six) months, without adding and/or replacing with other foods or beverages (except medicines, vitamins, and minerals). One of the factors that affect the exclusive breastfeeding was the perceptions of insufficient milk. Milk insufficiency is considered to happen when the mother stops breastfeeding exclusively with some reasons such as no breast milk, low milk supply, or insufficient milk. This research was to examine more deeply the perception of insufficient milk and factor influencing it. Methods: This was a qualitative study that used a primary data of study "Intervention of Breastfeeding Enhancement and Weaning Food in the Implementation of the First-1000-Days-of-Life Program". Informants selected through who has been intervened research by PKGK. Triangulation of data sources was a midwife, informantsâ husbands, documents of mother and child health books (MCH) and secondary data from PKGK research. Results: Based on the result from the interview: a) there was found a tendency of knowledge increase on mothers receiving treatment. b) Mostly, the lactation guidance was given without supporting device. c) Mother perception about their will gained weight if giving the sufficient milk has not been in line with Body Mass Index (BMI) before pregnancy. d). Family support towards mothers breastfeeding has not been provided optimally. e) Early breast-feeding (EBF) was not complete in accordance with the standard. Conclusions: Mothers who had not received treatment were having lack of knowledge on exclusive breastfeeding. Implementation of EBF was not in line with the procedure. The role of a delivery helper on EBF is vital in order to make the implementation of the EBF carried out according to the procedure. ]]>
<![CDATA[ANTIMICROBIAL RESISTANCE CONTROL PROGRAM ON THE RATIONAL USE OF ANTIBIOTICS IN EKA HOSPITAL PEKANBARU, INDONESIA ]]>
<![CDATA[Magdalena, Rosinta]]>;
<![CDATA[Bachtiar, Adang]]>
<![CDATA[ Proceedings of the International Conference on Applied Science and Health No 3 (2018) ]]>
Publisher : <![CDATA[Proceedings of the International Conference on Applied Science and Health ]]>
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<![CDATA[Background: Antimicrobial resistance (AMR) threatens the effective prevention and treatment of an ever-increasing range of infections caused by bacteria, parasites, viruses and fungi. Rational use of antibiotics can reduce the emergence of antimicrobial resistance, cost of treatment, length of stay in hospitals, and improve health outcomes. This study aims to analyse the output of AMR control program implementation on the rational use of antibiotics in hospitals. Method: This research is a retrospective study, using descriptive analysis with Gyssens algorithm. Data were assessed from the medical records of patients treated at Eka hospital in 2017. The number of samples 877, in the ICU wards amounted to 307 and Hopea B 570. The analysis was performed by assessing the suitability of antibiotic therapy. The results are presented in therapeutic terms: the antibiotics used and the percentage of use based on the Gyssens algorithm. Result:The results of data analysis found there is an increase in the rationality of the use of antibiotics on the unit ICU (67.77%), Hopea B (67.36%). There is a decrease in Patients Length of Stay (LOS) in ICU (26%), in Hopea B (58%). The level of antibiotic use without indication in ICU (8.82%). in the Hopea B ward (5.34%.). Attitude of non-compliance of doctors against hospital guidelines and inadequate monitoring of antibiotic therapy. In the case of prophylactic antibiotics remain unobserved because of the lack of pharmacists who can monitor their use. Conclusion: Eka Hospital has established an AMR Control program, but it has not been implemented properly. Continuous evaluation, awareness raising and understanding of doctors, the addition of monitoring officers (pharmacists), patient screenings and hospital staff on an ongoing basis, are worthy of consideration in order to improve the implementation of the program. ]]>
<![CDATA[ANTENATAL CARE (ANC) VISIT FREQUENCY IN THE THIRD TRIMESTER AND PRETERM EVENTS IN PUSKESMAS PONDOH AND JUNTINYUAT IN INDRAMAYU REGENCY BETWEEN 2014-2016 ]]>
<![CDATA[Ameliana, Elinda]]>;
<![CDATA[Nauphar, Donny]]>;
<![CDATA[Maryam, Ruri Eka]]>
<![CDATA[ Proceedings of the International Conference on Applied Science and Health No 3 (2018) ]]>
Publisher : <![CDATA[Proceedings of the International Conference on Applied Science and Health ]]>
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<![CDATA[Background: World Health Organization (WHO) estimates that 15 million babies are born preterm every year and this number continues to increase. Several risk factors for preterm are identified as motherâs lifestyle such as smoking, malnutrition, weight gain during pregnancy, and drug use or other factors such as socioeconomic status. In 2015, WHO reported more than 300.000 women died from pregnancy-related causes and 2.6 million babies were still born worldwide with half occurring during the third trimester. Antenatal Care (ANC) in the third semester aims to identify fetal position and identify complication during pregnancy and screen for pre-eclampsia, infection of the reproductive organs and urinary tract, and plan for delivery. The ANC in the third semester is crucial in keeping pregnant mother healthy throught pregnancy and delivery. Aim: To find out the relationship between third trimester Antenatal Care (ANC) visit frequency and preterm birth event at Puskesmas Pondoh and Juntinyuat in Indramayu regency between 2014-2016. Methods: This was observational analytic study with cross-sectional approach. The sampling technique in this research was done by total sampling with 100 respondens. Data were collected from maternal cohort book and control card of pregnant women. The data were analyzed using Chi-square test and Prevalence Ratio. Results: This study found that the proportion of pregnant mothers with insufficient third trimester ANC was 38% and the number of mothers delivering preterm baby was 32%. Statistical analysis showed that there was a statistical significance between third trimester ANC visit frequency and preterm labor with p=0,000 (p<0,05) and women with insufficient ANC visit have 40 times higher risk of preterm baby compared to mothers who has sufficient ANC visit (PR=40,60; CI95%=11.699-140.8862) in Puskesmas Pondoh and Juntinyuat Indramayu District 2014-2016. Conclusion: Having less than 4 ANC visit in the third trimester may increase the risk of delivering preterm babies. Pregnant women are advised to do ante natal care monthly of a minimum 4 times during the third trimester. ]]>
<![CDATA[ANALYSIS OF FACTORS AFFECTING THE PERFORMANCE OF NURSE IN MUFID ACEH GENERAL HOSPITAL ]]>
<![CDATA[Sari, Putri Ilham]]>;
<![CDATA[Bachtiar, Adang]]>
<![CDATA[ Proceedings of the International Conference on Applied Science and Health No 3 (2018) ]]>
Publisher : <![CDATA[Proceedings of the International Conference on Applied Science and Health ]]>
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<![CDATA[Background: To improve the human resources of the hospital, one of nurses to ensure the hospital service is well organized, the hospital management must have good strategy management.This research was conducted at Mufid Aceh General Hospital to get an overview of the factors that affect the performance of nurses at Mufid Aceh General Hospital. Methods: It was a qualitative research focused on employment documents, income documents, monthly staff satisfaction, monthly performance results nursing, patient satisfaction in Mufid Aceh General Hospital. Results: Internal factors that affect the low performance of nurses at Mufid Aceh General Hospital are satisfaction, work-related stress factors, short working period and low work motivation. While External factors that affect the low performance of nurses is work load factor. Conclusions: Based on the result of this research, it is suggested to Mufid Aceh General Hospital to planning of nurse requirement well, to make policy about income, to make job description and authority in accordance with competence of nurse staff and creating a retention program. ]]>
<![CDATA[COST AND FINANCIAL ECONOMIC IMPACT IN CATHETER ASSOCIATED URINARY TRACT INFECTION (CAUTI): A SYSTEMATIC REVIEW ]]>
<![CDATA[Sarah, Fatimah]]>;
<![CDATA[Puput, Oktaminati]]>
<![CDATA[ Proceedings of the International Conference on Applied Science and Health No 3 (2018) ]]>
Publisher : <![CDATA[Proceedings of the International Conference on Applied Science and Health ]]>
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<![CDATA[Background: Catheter-associated urinary tract infections (CAUTI) was the first condition chosen for nonpayment because of its anticipated effect on large numbers of hospitalizations. The risk of CAUTI is mainly related to the duration of catheterization, occurring at a rate of 5% per day. This study is to identify the cost and financial economic impact of intervention and prevention including an indication of CAUTI, number of events, duration of urinary catheterization, length of stay, the cost for antibiotics and hospitalization cost in catheter-associated urinary tract infection (CAUTI) to reducing the rate and hospital payment. Methods: Systematic Review with PRISMA â P Protocol in 2009 method from a relevant database such as PubMed and ProQuest search engine in 2007 until 2017. Total document selected by full text is 10 article. Results: Based on literature search and screening article after using intervention and prevention strategy for CAUTI in the USA, UK and Thailand have a good impact in the duration of urinary catheterization, length of stay, the cost for antibiotic and hospitalization cost. Some article result that the change in the rate of CAUTI was not significantly different before and after the policy and validity in identifying CAUTI is limited. Conclusions: Cost impact in catheter-associated urinary tract infections (CAUTI) can preventable by reducing unnecessary urinary catheter use (appropriate indication), shortening catheter duration, bladder bundles intervention, supervision, and evaluation of the implementation. ]]>
<![CDATA[SPATIO-TEMPORAL ANALYSIS OF MALARIA INCIDENCE ALONG HLAINGBWE TOWNSHIP IN MYANMAR AND THA SONG YANG DISTRICT IN THAILAND ]]>
<![CDATA[Thway, Aung Minn]]>;
<![CDATA[Kaewkungwal, Jaranit]]>;
<![CDATA[Prachumsri, Jetsumon]]>;
<![CDATA[Lawawirojwong, Siam]]>;
<![CDATA[Thi, Aung]]>;
<![CDATA[Hlaing, Tin Maung]]>;
<![CDATA[Soe, Thiha Myint]]>;
<![CDATA[Rotejanaprasert, Chawarat]]>
<![CDATA[ Proceedings of the International Conference on Applied Science and Health No 3 (2018) ]]>
Publisher : <![CDATA[Proceedings of the International Conference on Applied Science and Health ]]>
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<![CDATA[Background: Malaria stays a serious public health problem in many countries of the world. The border regions are difficult to control for the malaria elimination due to the importation or reintroduction of malaria. A key to address such problem is reinforcing of surveillance activities with rapid identification. The objective of the study was to describe the malaria incidence rate and analyze the space and time distribution of malaria incidence rate in the high endemic border areas between Myanmar and Thailand, the Hlaingbwe Township and Tha Song Yang District. Methodology: Daily malaria data were collected, using a passive surveillance system, from patients visiting local health facilities in both Tha Song Yang and Hlaingbwe regions. ArcMap software version 10.4.1 was used to describe the disease mapping of malaria incidence rate in both regions. Results: Compared to their counterparts, male gender had higher malaria incidence rates in both Tha Song Yang and Hlaingbwe regions. Non-Thai people had higher incidence rate than Thai in Tha Song Yang district. The higher incidence rates had seasonal pattern and the pattern was similar in both regions. The areas with a higher incidence rate could be seen in both inner side and along Thai- Myanmar border (upper and lower parts) in Tha Song Yang area. But in Hlaingbwe Township, the higher incidence rate occurred only in the inner and upper parts except for Me La Yaw and Tar Le areas which are situated along the Thai-Myanmar border. Along the border, the higher incidence rates were connected to the adjacent area in upper and lower parts between these two regions. Conclusion: The descriptive statistics and presented map in this study gave the health policy makers an important overview of malaria situation in this regions in order to intervene high risk areas more effectively, and distribute the resources in a useful manner. ]]>
