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Science Midwifery
Published by Institute of Computer Science
ISSN : 20867689     EISSN : 27219453     DOI : -
Core Subject : Health,
Dentistry Health Professions Nursing Public Health Veterinary
Jurnal Kebidanan dan ilmu kesehatan ini adalah di terbitkan 2 kali dalam setahun, dalam bidang kebidanan dan perawat.
Arjuna Subject : Keperawatan - Maternity and Midwifery
Articles 1,455 Documents
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External patient visits and healthcare service delivery at terara public health center: A management perspective analysis Nurhayati, Nurhayati; Sastrawan, Sastrawan; Sismulyanto, Sismulyanto; Saimi, Saimi; Menap, Menap
Science Midwifery Vol 12 No 1 (2024): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i1.1426

Abstract

The increasing visits of patients from outside the area to Terara Public Health Center constitute a phenomenon of growing significance within the context of healthcare provision in the region. This necessitates an understanding of the impact of these external patient visits on healthcare service delivery at Terara Public Health Center, encompassing aspects such as resource availability, operational efficiency, and service management. Therefore, this research aims to analyze the management perspective regarding the influence of external patient visits on healthcare provision at Terara Public Health Center. This research employs a descriptive method with a qualitative approach. Data collection takes the form of words or images, thus not focusing on numerical data. The intention of this study is to provide an overview, elucidate, and interpret the current situation regarding the impact of external visits on healthcare services at Terara Public Health Center from a service management perspective. This research was conducted at Terara Public Health Center. The findings indicate that the high influx of patients from outside the area to Terara Public Health Center has a significant impact on service management, including increased patient queues, maintenance costs of medical equipment, availability of medications, and the need for more adequate facilities and infrastructure. Management at Terara Public Health Center has taken steps to address these impacts, such as increasing the procurement of medications and enhancing facilities and infrastructure.
TNF-α and IL-10 as paracrine effect of encapsulated mesenchymal stem cells coating by platelet lysate Sibuea, Christine Verawaty; Sitanggang, Ervina Julien; Simaremare, Ade Pryta; Silaen, Rachel Teodora; Kuara , Glenessa; Samosir, Sarah Christina; Ginting, Kharnis Marsha Madora; Yana, Hiqmah Yusi; Pratama, Gita; Mutiara, Mutiara; Angeline, Wiedya Kristianti
Science Midwifery Vol 11 No 6 (2024): February: Midwifery and Health Sciences
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v11i6.1427

Abstract

Mesenchymal stem cells (MSCs) have been used as a cellular therapy for infectious and degenerative diseases due to their paracrine effect, immunomodulatory capability, high ability differentiation, and high plasticity. The paracrine effect of MSCs releases many growth factors and pro-inflammatory cytokines such as tumor necrosis factor-α (TNF-α) and interleukin-10 (IL-10), enabling them to modulate the immune system. Nevertheless, there are many obstacles to maintaining paracrine effects in cellular therapy due to a shortage of cellular retention. MSC encapsulation provides a favourable environment for the enhanced viability of MSCs. Platelet lysate is comprised of many growth factors that support the paracrine effect of mesenchymal stem cells (MSCs). In this study, MSCs were encapsulated within alginate, crosslinked using calcium chloride (CaCl2), and subsequently coated with platelet lysate. Encapsulated MSCs coated by platelet lysate were cultured for 21 days and analyzed for IL-10 and TNF-α levels. The findings of our study performed that TNF-α in encapsulated mesenchymal stem cells (MSCs) coated with platelet lysate increased until day 21. IL-10 was retained within the capsule and detected very in day 14. This study showed that encapsulated MSCs coated with platelet lysate affected paracrine effect TNF-α of MSC and retained IL-10 inside the capsule
Legal responsibility of foreign doctors who commit medical malpractice in Indonesia Marune, Abraham Ethan Martupa Sahat
Science Midwifery Vol 12 No 1 (2024): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i1.1428

Abstract

This research investigates the legal liability of foreign doctors in cases of malpractice and illegal medical practices in Indonesia. It explores the legal framework governing such practices and the protection available to victims. Despite existing laws such as Law Number 8 of 1999 concerning Consumer Protection and Law Number 29 concerning Medical Practice, they fail to adequately safeguard patients, particularly in cases involving foreign doctors. Although legislation mandates health as a human right and outlines legal protection for victims, enforcement is lacking. There's a notable absence of specific regulations governing the supervision of foreign doctors practicing in Indonesia. While various laws touch on aspects of supervision and regulation, such as Law Number 13 of 2003 concerning Employment and Law Number 6 of 2011 concerning Immigration, they lack specificity. The research recommends revising and enhancing legal regulations to address these gaps, particularly focusing on regulations pertaining to foreign doctors' practices and patient protection. This includes advocating for specialized regulations tailored to address malpractice committed by foreign doctors and ensuring their enforcement to uphold patient safety and rights.
Utilization of voluntary counseling and testing (VCT) services among transexual in Banda Aceh Yusuf, Nazira; Marthoenis, Marthoenis; Saputra, Irwan; Hermansyah, Hermansyah; Abdullah, Asnawi
Science Midwifery Vol 12 No 1 (2024): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i1.1429

Abstract

Indonesia ranks fifth in Asia in terms of high risk of HIV/AIDS. Men who have sex with men (MSM) are 22 times more likely to contract HIV among at-risk populations worldwide. MSM ranks third in the percentage of HIV-positive individuals undergoing HIV testing in Indonesia, at 8.75%. Previous research estimated that there were 30 active transgender sex workers in Banda Aceh and 311 MSM. Voluntary Counseling and Testing (VCT) is one way to detect HIV. However, several factors prevent transgender individuals from utilizing VCT services. The research design used is descriptive quantitative, analyzing VCT utilization among transgender individuals in Banda Aceh in 2021. The sample size in this study is 77 individuals using total sampling technique. Data collection was conducted using a questionnaire. Data analysis involves univariate analysis. t was found that 83.12% of surveyed transgender women are under the age of 35, with 80.52% having a secondary education. 71.43% of them work in salons, and 83.13% identify themselves as Acehnese. Only 50.65% have partners, although 58.44% exhibit a positive attitude towards VCT services. However, 55.84% face stigma and discrimination. Approximately 53.25% of respondents rate VCT facilities positively, but only 54.55% utilize the service. 33.33% have used VCT for 3 years, primarily at health centers, with partner rejection being the main obstacle (34.29%). While 84.42% correctly identify VCT, there are still misunderstandings, such as simultaneous testing and counseling (79.22%). Additionally, only 62.34% are aware of the voluntary nature of HIV testing, and only 50.65% understand the affordability and lifelong treatment of HIV.
Determinants of factors influencing the utilization of Covid-19 vaccination services at sigli public health center, Pidie Regency, Aceh, Indonesia Fauza, Riska; Hidayat, Melania; Zahara, Meutia; Radhiah, Radhiah; Abdullah, Asnawi
Science Midwifery Vol 12 No 1 (2024): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i1.1430

Abstract

This study aims to identify the factors influencing people's utilization of vaccination services at the Sigli City Health Center. This research employed an analytical observational design with a cross-sectional approach. Independent variables included age, occupation, education, knowledge, accessibility, family support, perception, and immunization history, while the dependent variable was the utilization of the Covid-19 vaccine service. The study was conducted in November, with a sample size of 371 respondents selected using random sampling techniques based on the Slovin formula. Data were collected through questionnaires distributed to the respondents. The research findings revealed that approximately 78.71% of the population utilized the vaccine service, while 21.29% did not. Bivariate analysis indicated that out of the eight variables examined, five variables had a significant relationship with the utilization of the Covid-19 vaccine service, namely occupation, knowledge, accessibility, family support, and perception, each with a p-value of 0.000. Multivariate analysis further confirmed that knowledge was the most dominant factor, with a p-value of 0.000 and an Odds Ratio of 23.3 (95% CI = 63.5-85.9). Thus, a lack of knowledge was found to be a significant factor influencing the utilization of the Covid-19 vaccine service.
Determinants influencing healthcare workers' anxiety levels during the COVID-19 pandemic at Cut Nyak Dhien Regional General Hospital, West Aceh Tari, Nadalia Indah; Hidayat, Melania; Zakaria, Radhiah; Maidar, Maidar; Abdullah, Asnawi
Science Midwifery Vol 12 No 1 (2024): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i1.1431

Abstract

The COVID-19 pandemic has had a significant impact on society, particularly on healthcare professionals who have been at the forefront of the pandemic response. They have faced a high risk of virus exposure and have been burdened with extraordinary responsibilities in saving lives. Since the onset of the pandemic until February 2022, thousands of healthcare workers have been exposed to the virus, and some have even lost their lives. Therefore, this study was conducted to understand the factors influencing the level of anxiety among healthcare workers during the COVID-19 pandemic. The research employed a cross-sectional survey approach and was conducted at Cut Nyak Dhien Regional General Hospital, West Aceh Regency, in November 2021. The study population consisted of 396 healthcare workers, with a sample of 304 healthcare workers selected using purposive sampling. Data collected were analyzed using logistic regression. The findings revealed that the majority of healthcare workers at Cut Nyak Dhien Hospital experienced high levels of anxiety during the COVID-19 pandemic, with 72.37% experiencing panic anxiety, while 27.63% experienced non-panic anxiety. Significant factors influencing anxiety levels included family support, with an odds ratio (OR) of 2.1 and a p-value of 0.017, sufficient knowledge with an OR of 0.5 and a p-value of 0.084, and adequate provision of Personal Protective Equipment (PPE) with an OR of 2.1 and a p-value of 0.026. However, there was no significant relationship between anxiety levels and variables such as age, profession, marital status, highest education level, and comorbid conditions.
Analysis of determinants of adherence to anti-tuberculosis drugs in tb patients during covid-19 at the public health center of Aceh Besar Regency Amiruddin, Amiruddin; Ichwansyah, Fahmi; Hermansyah, Hermansyah; Maidar, Maidar; Abdullah, Asnawi
Science Midwifery Vol 12 No 1 (2024): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i1.1432

Abstract

The Covid-19 pandemic has had a significant impact on TB patients, particularly in terms of treatment and drug monitoring. During the pandemic in 2020, there were 350 cases of TB in Aceh Besar District. This study aimed to assess the compliance of TB patients during the Covid-19 period at the Aceh Besar District Health Center. A cross-sectional study design was employed, and data were collected from 118 TB patients from April to October 2020. The research was conducted in April 2022. Questionnaires were used for data collection, and bivariate and multivariate analyses were performed using the STATA 12 application program. The results of the multivariate analysis revealed that several risk factors, including Covid-19, history of illness, sources of information, age, knowledge, and trips to the health center, were associated with non-compliance in taking OAT medications. Efforts to increase awareness and educate the public about the risk factors of TB should continue, even during the Covid-19 pandemic. Building partnerships with former TB patients who have completed treatment and recovered can also help in promoting adherence to OAT medications among current TB patients.
The relationship between health literacy and quality of life among diabetes mellitus patients in the working area of Darul Imarah Subdistrict Health Center Isnani, Ayu; Hermansyah, Hermansyah; Maidar, Maidar; Saputra, Irwan; Abdullah, Asnawi; Rani, Hafnidar Ar
Science Midwifery Vol 12 No 1 (2024): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i1.1433

Abstract

The study aimed to examine the relationship between health literacy and the quality of life of Diabetes Mellitus (DM) patients in the Darul Imarah Sub-District Health Center, Aceh Besar District. Using an analytical observational design with a cross-sectional approach, the study included 1,125 DM patients, with 100 individuals selected as research samples. Data analysis involved univariate, bivariate, and multivariate analysis using logistic regression. The findings revealed that a majority of DM patients in the working area of the health center experienced poor quality of life (82%). Additionally, there was a significant relationship between health literacy and the quality of life of DM patients (OR=8.34; 95% CI=1.05-66.05; p=0.044). Confounding assessment identified socioeconomic status, family history of DM, access to information, and low physical activity as factors influencing the quality of life of DM patients. The multivariate analysis highlighted socioeconomic status as the most dominant factor (OR=25.43; 95% CI=2.24-288.44; p=0.009). In conclusion, DM patients in the Darul Imarah Sub-District, Aceh Besar Regency, generally have poor quality of life, with health literacy, socioeconomic factors, descent, information access, and physical activity playing significant roles in influencing it.
The effectiveness of using red betel leaf (piper ornatum) infusion compared to binahong leaf (anredera cordifolia) infusion in healing external genital infections Manaf, Salmiani Abdul; Novemi, Novemi
Science Midwifery Vol 12 No 1 (2024): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i1.1434

Abstract

The group of women vulnerable to viral and bacterial infections. Efforts to prevent more serious external genitalia infections often involve daily genital hygiene habits. One of the efforts made is utilizing plants as traditional remedies, such as using boiled water from red betel leaves and Binahong leaves to cleanse external genitalia. This study aims to analyze the effectiveness of using boiled water from red betel leaves (Piper Ornatum) compared to Binahong leaf decoction (Anredera cordifolia) on the healing level of infected external genital organs in female cockle seekers. The method used is a quasi-experimental study with randomization and pre-post test design. The population consists of 134 female cockle seekers, with 30 individuals in treatment group I and 30 individuals in treatment group II, based on predefined inclusion criteria. Data analysis was performed using the Wilcoxon signed-rank test and Mann-Whitney test. The results show a significant difference in the healing of external genital infections in female cockle seekers before and after the use of boiled water from red betel leaves, with p=0.000 (p<0.05), as well as a significant difference before and after the use of Binahong leaf decoction, with p=0.000 (p<0.05). The findings indicate that boiled water from red betel leaves is more effective in healing external genital infections compared to Binahong leaf decoction among female cockle seekers in Krueng Tibang, with an average infection healing score of 25.
Knowledge and skills in combating stunting in toddlers in Aceh Besar regency (a comparative study of BKKBN cadres with Integrated Service Post cadres) Majid, Abdul; Hermansyah, Hermansyah; Zahara, Meutia; Abdullah, Asnawi; Hafnidar, Hafnidar
Science Midwifery Vol 12 No 1 (2024): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i1.1436

Abstract

Stunting is a critical issue with irreversible consequences on children's growth and development. In Ingin Jaya and Indrapuri districts, stunting is a significant concern. This research examined the knowledge and skills of TPK and Posyandu cadres in tackling stunting in Aceh Besar Regency. The study included 50 TPK cadres and 50 Integrated Service Post cadres actively engaged in Want Jaya and Indrapuri districts in 2022. Analysis revealed no significant differences in knowledge (P=0.562) and skills (P=0.445) between the cadres. Cadres' motivation level emerged as the most influential factor impacting stunting prevalence, with lower motivation associated with a 4.67% increase in stunting village score (P=0.030). These findings offer valuable insights for addressing stunting and inform effective management strategies in rural areas. While no significant differences were found in knowledge, skills, education, and occupation between TPK and Integrated Service Post cadres in Aceh Besar District, variations were observed in the distance from the village to the district capital. Inadequate knowledge and motivation in both cadre groups significantly affect efforts to combat toddler stunting.

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