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Journal of Health Technology Assessment in Midwifery

JHTAM
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Published by Universitas Aisyiyah Yogyakarta

ISSN : 26208423 EISSN : 26205653 DOI : https://doi.org/10.31101/jhtam

Core Subject : Health, Science, Education,

Education Health Professions Immunology & microbiology Public Health

Journal of Health Technology Assessment in Midwifery provides an international forum for the publication, dissemination and discussion of advances in evidence, controversies and current research, current knowledge and promotes continuing education through publication of systematic and other reviews and updates across broad range of clinical and interdisciplinary topics including: 1. midwifery; 2. maternity and children health; 3. primary care for women and newborn; 4. public health; 5. health care policy; 6. health system, and global health. It also covers cultural, clinical, psycho-social, sociological, epidemiological, education, managerial, workforce, organizational and technological areas of practice in preconception and other health systems.

Arjuna Subject : Keperawatan - Maternity and Midwifery

Articles 103 Documents

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Current status and future directions of cardiac rehabilitation program: a review of the literature Sutantri Sutantri
Journal of Health Technology Assessment in Midwifery Vol 2, No 2 (2019): November
Publisher : Universitas Aisyiyah Yogyakarta

One of the effective treatments for patients recovering from acute cardiac illness or surgery is cardiac rehabilitation (CR). CR has proven to be effective to reduce mortality, morbidity, and also to improve the quality of life. The purpose of this review is to present the current status of CR program worldwide as well as to identify a potential approach for further investigation. Literature searching of electronic databases was conducted in several databases including CINAHL, MEDLINE, PsycINFO, and EMBASE, and Google Scholar. CR aims to restore patients with CVD to a state of good health. Each country has different approach in the provision and organization of CR as well as the allocation of resources, which depends on their health policies and politics. The indications for CR also differ between countries, but traditionally CR has been used following acute myocardial infarction (MI). CR programs have been divided into three phases of progression. Hospital-based or supervised site-based programs have been known as the most common model of CR in most countries. The core components of CR include patient assessment, nutritional counselling, exercise training, physical activity counselling, weight management, tobacco cessation, aggressive coronary risk-factor management, and psychosocial management. Despite the apparent benefits of CR in patients with CVD, these programs remain largely underused. The participation rates in the USA, Australia, and Europe are low, estimated at 10-30%. New research areas that explore new ways of CR delivery to improve referral and participation rates are essential.

Improving recruitment process for nurses, professions supplementary to medicine and paramedical staff Pamila Sadeeka Adikari; Dileep De Silva; Sunil De Alwis; KYPK Weerasekara; Parmelalagapillai Karthikeyan; HHDAU Hettiarachchi; Kapuge Ranjith Kumara; HW Sunil Shantha
Journal of Health Technology Assessment in Midwifery Vol 3, No 2 (2020): November
Publisher : Universitas Aisyiyah Yogyakarta

The recruitment process of nurses, professions supplementary to medicine and paramedical staffs had been a lengthy and labourers work for the Ministry of Health and Indigenous Medical Services (MoHIMS) of Sri Lanka. The process affected the regular recruitment of mentioned staff categories. Flaws in this system contributed negatively to the country's shortage of human resources for health (HRH) as well as efforts to improve the healthcare service delivery. The aim of the study was to identify the gaps in the traditional paper-based recruitment system of the MoHIMS and to design a suitable intervention to improve the process and to assess the improvements brought about by the intervention. A service improvement project with full participation of stakeholders was planned by the Human Resource Coordination Division (HRCoD) of the MoHIMS. Qualitative methods were used to identify the gaps in the existing recruitment system and to gather the ideas for improvement. A computer based online recruitment system was implemented with the collaboration of the Department of Computer Science Engineering, Faculty of Engineering, University of Moratuwa. The perceived satisfaction of the stakeholders was reassessed by qualitative methods. Long lag between advertising and recruitment for training was revealed. Deficiencies such as, lack of transparency, negatively affected routine office processes, inability to validate examination results during application process and frustrated applicants leaving the training programs due to lengthy selection processes were also among the main gaps identified. The implemented online recruitment system was recognised by the stakeholders for its improved timeliness, transparency and minimal interference to the routine office functions. Service improvement projects to be successful, should be implemented with full stakeholder participation. Computer based online recruitment systems can be successfully implemented in public sector recruitments to improve the efficiency and transparency

Factors affecting the failure of exclusive breastfeeding practice: a scoping review Sulasmi Sulasmi; Mufdlilah Mufdlilah; Luluk Rosyida
Journal of Health Technology Assessment in Midwifery Vol 4, No 2 (2021): November
Publisher : Universitas Aisyiyah Yogyakarta

Background: In some countries, exclusive breastfeeding is practiced in a limited number of cases and for a short period of time; on an international scale in 2012, only 39% of six-month-old babies were exclusively breastfed. This breastfeeding rate falls short of the World Health Organization's recommended threshold (WHO). According to WHO, to reach the global level by 2025, which is 50% of mothers must exclusively breastfeed for 6 months after giving birth, a strategy must be developed to encourage and facilitate the initiation and continuation of breastfeeding. So, it is hoped that with the target set by WHO, mothers can give breast milk exclusively to their babies for 6 months optimally. Exclusive breastfeeding (ASI) is the ideal nutrition for babies in the first 6 months of life, with continued breastfeeding being recommended for up to 2 years of age. The health benefits of self-feeding are dose dependent, and infants with longer periods of exclusive breastfeeding have better health outcomes. The benefits of breastfeeding are dose dependent, and children have better health outcomes when they are breastfeeding exclusively for longer periods of time, but exclusive breastfeeding has not yet reached its aim due to a variety of factors that contribute to failure.Objectives: To identify factors affecting the failure of exclusive breastfeeding practice.Method: The method employed was scoping review, which starts with identifying scoping review questions using the PEO’S framework; selecting relevant articles based on inclusion and exclusion criteria; and finally, evaluating the results. utilizing databases such as Pubmed, Willey Online Library, ProQuest, and Google Scholar to conduct literature searches; Select articles with a PRISMA Flowchart that describes the search process; execute data charting and critical appraisal; compile and report results.Result: 10 relevant articles have grade A and grade B out of the 103 items that were selected using confidence. Quantitative and qualitative research were used to create these articles. Several factors that influence the inability of exclusive breastfeeding include education knowledge, age parity, nipple pain, workplace, work facilities, workload, support culture.Conclusion: Internal and external factors influence the success of exclusive breastfeeding, the internal aspects including education and knowledge, age and parity, and nipple pain. Workplace, work facilities, workload, support, and culture all are external factors. The failure of exclusive breastfeeding is influenced by several internal and external factors Therefore, it is hoped that the second factor can be a concern to reduce the incidence of unsuccessful exclusive breastfeeding.

Quality of maternal health care in Indonesia Hanifatur Rosyidah; Korrie De Koning; Hermen Ormel
Journal of Health Technology Assessment in Midwifery Vol 2, No 1 (2019): May
Publisher : Universitas Aisyiyah Yogyakarta

Maternal Mortality Ratio (MMR) in Indonesia remains high, 190 per 100,000 live births in 2013. World Bank emphasizes that 60% of maternal death is contributed by poor quality of care. Lack of attitude, competence and compliance of midwives were found in Indonesia, which indicate poor quality of maternal health care. The objective of this study is to analyze factors influencing the quality of maternal health care in Indonesia. The literatures from 2004-2014 were selected and reviewed. The latest framework of 2014 on quality maternal health care by Renfrew et al. was used as a guide. The quality of maternal health care in Indonesia is influenced by lack of midwives’ competence, inadequate supervision and monitoring, lack of drugs and equipment supply, lack of community involvement in health services. In order to address the gaps in quality of maternal health care in Indonesia, six effective interventions are proposed; namely: maternal health audit and feedback, cultural competence, education, educational outreach visit, optimizing the role of lay health workers, group prenatal care and ensure adequate supply of drugs and equipment. The interventions needs to be carried out through a collaborative approach, policy change, pilot study and strengthen activities in implementation level.

A qualitative study of partnership between woman and midwife within midwife-led care clinic Rizky Vaira; Yanti Yanti; Asri Hidayat
Journal of Health Technology Assessment in Midwifery Vol 3, No 1 (2020): May
Publisher : Universitas Aisyiyah Yogyakarta

One indirect causes of maternal mortality in Indonesia is "Three Delays", delays in: (1) deciding to seek appropriate medical help for an obstetric emergency; (2) reaching an appropriate obstetric facility; and (3) receiving adequate care when a facility is reached, which has relation with the lack of women's ability in empowering herself to actively participate and to make suitable decisions about midwifery care they need. The research aims to explore the partnership between woman and midwife in midwifery care. A descriptive qualitative study was conducted using a convenience sample of six low-risk women after they had given birth and six midwives from six geographically distinct midwife-led care clinic in Bantul Regency. Data were collected through semi‑structured in‑depth interviews. The interview was conducted two to three times and recorded by audio record. Interviews were transcribed and analyzed by the thematic analysis according to Cresswell approach. Seven major themes were identified: (a) midwives ability to partner with women, (b) equality and reciprocity, (c) negotiation, (d) empowerment, (e) trust and time, (f) sharing power and responsibility, and (g) professional friendship. Most of the women are not capable to empower themselves such as less participating in decision making, less considerate in choosing a birthing position, and worsen by the limitations of midwives availability during the delivery process. Midwives need to reflect more the philosophy meaning inside the midwifery care and strengthen the midwifery professionals curriculum in order to persuade women as a partner who capable to empower themselves and to participate actively.

Nutritional status and nutrient adequacy against serum prolactin levels in lactating mothers during the COVID-19 pandemic Giyawati Yulilania Okinarum; Lestariningsih Lestariningsih; Afroh Fauziah
Journal of Health Technology Assessment in Midwifery Vol 4, No 2 (2021): November
Publisher : Universitas Aisyiyah Yogyakarta

The COVID-19 pandemic is creating global disruption, every area of life is touched. One area that has an impact, is breastfeeding, which is caused by nutritional status and nutrient adequacy during the pandemic, this condition affects prolactin release. Prolactin hormone stimulates and initiatiates of milk secretion. Midwives employed in maternal-child settings play a pivotal role in facilitating and supporting lactating mothers. This study aimed to identify and analyze the nutritional status and nutrient adequacy against serum prolactin levels in lactating mothers during the COVID-19 pandemic. Sixty lactating mothers from Sleman Regency and Yogyakarta city participated in this cross-sectional study. All were between 0-3 postpartum months. A single blood sample was collected from women at 7-9 am. Serum samples were stored at 2-8⁰C before the prolactin assay by using VIDAS®. Data analysis using Kruskal Wallis followed by Post-Hoc Mann Whitney. Results found a statistically significant difference in serum prolactin levels between underweight vs normoweight and normoweight vs overweight (p0.05), but there was no significant difference in serum prolactin levels between underweight vs overweight (p0.05). Significant differences in serum prolactin levels also found in the nutrient adequacy (energy, carbohydrate, protein, and fat) (p 0.05). Thus, normoweight and adequate macronutrient during breastfeeding in the COVID-19 pandemic situation had better serum prolavtin levels than underweight, overweight and inadequate macronutrient.

Service quality of integrated Antenatal Care (ANC) and pregnant women participation on Human Immunodeficiency Virus (HIV) tests Asni Asni; Mochamad Anwar; Sulistyaningsih Sulistyaningsih
Journal of Health Technology Assessment in Midwifery Vol 1, No 2 (2018): November
Publisher : Universitas Aisyiyah Yogyakarta

WHO data in 2016 estimated that 36.7 million people suffered from HIV globally, and 34.5 million among them were adults. Yogyakarta Special Province in 2016 found that there were 2,954 cases of HIV with the highest cases in Sleman Regency as many as 868 cases. Mlati I Primary Health Center was a Primary Health Center with the lowest coverage of HIV testing for pregnant women, namely in 2017 there were 752 pregnant women, and only 414 (55.05%) were tested for HIV. The purpose of this study was to determine the relationship between perceptions of integrated antenatal care quality service and the participation of HIV testing of pregnant women. The study applied cross sectional research method. The population in this study were pregnant women who performed ANC examinations at Mlati I Primary Health Center in September - November 2018 with a total of 318 pregnant women. The samples in the study were 154 with the simple random sampling technique. The instrument of data collection in this study used a questionnaire. Data analysis employed chi Square and logistic regression. The results of bivariate statistical tests using chi square showed that sig value = 0.000 0.05 with OR 13.896 meaning that women who had a good perception of the quality of ANC services had 13.896 higher chance to have HIV tests compared to those who had poor perceptions of the quality of integrated ANC services . Good perception of the quality of integrated ANC services for pregnant women had a greater chance of taking an HIV test.

Women’s knowledge and participation in early detection of cervical cancer: a cross-sectional study Elia Ika Rahmawati; Dini Andriyani; Fathiyatur Rohmah
Journal of Health Technology Assessment in Midwifery Vol 3, No 1 (2020): May
Publisher : Universitas Aisyiyah Yogyakarta

Cervical cancer is a malignant disease that remains a major cause of morbidity and mortality among women in the world. In Indonesia, only 5% of women of reproductive age screen for cervical cancer. 76.6% of cervical cancer patients are detected with the disease when they entered the advanced stage. Early detection of cervical cancer is the key intervention in the reduction of incidence and mortality of cervical cancer. Other studies reported that the awareness of women of reproductive age to do cervical cancer screening is still very low due to a lack of knowledge about cervical cancer. This study aimed to determine the correlation of knowledge and participation in early detection of cervical cancer in women in reproductive age. This study used an analytical survey with a cross-sectional approach. The sampling technique used incidental sampling with a total of 36 women in reproductive age. Data analysis used Chi-Square test. Statistical results showed that there was a significant correlation between knowledge of women in reproductive age about cervical cancer and participation in early detection of cervical cancer, which is p value = 0.020 ( 0.05) and coefficient of contingency (r) = 0.423. The level of closeness of the correlation is medium. Therefore, there is a need for tailored services that could improve knowledge of women in reproductive age about cervical cancer to improve participation with a view to preventing cervical cancer by early detection.

Aristolone content analysis in ficus auriculata as predicted apoptotic activity in hela cells Kusmayra Ambarwati; Miftahul Jannah; Asyifa Robiatul Adawiyah
Journal of Health Technology Assessment in Midwifery Vol 4, No 1 (2021): May
Publisher : Universitas Aisyiyah Yogyakarta

Antioxidants and herbs have been scientifically proven to be one of the substances that can prevent cervical cancer. The incidence of cervical cancer in Indonesia is very high and is a vital cause of death of women in Indonesia. Every day 40-45 new cases emerge, which means 20-25 people die from cervical cancer in Indonesia. Several previous studies have shown that there are plants, fruits and seeds that contain high antioxidants and are believed to prevent and reduce pain due to cervical cancer. Besides, many herbs that also found in Indonesia are known to affect cancer cells. Ficus auriculata can find in Indonesia. However, not many people use the available natural resources that are suspected to prevent cervical cancer. This study was a preliminary study analyzed of Aristolone in Ara Fruit used as a prediction of apoptosis in HeLa cells. The results showed that the positive effect of Aristolone content in F. auriculata affected proliferation supported by previous studies.

The relationship between a healthy lifestyle and diarrheal disease among children in the penanae health center workplace Tri Yubiah; Nur Baety; Ira Wati
Journal of Health Technology Assessment in Midwifery Vol 5, No 1 (2022): May
Publisher : Universitas Aisyiyah Yogyakarta

Background: Diarrheal disease is a global problem that has become the second leading cause of death in children under five years old. Diarrhea can last for several days. Diarrhea deaths are mainly caused by dehydration due to fluid and electrolytes loss through feces. This study investigates the relationship between a healthy lifestyle and diarrheal disease among 1-5 years children in the Penanae Health Center workplace. This research used a quantitative analytical descriptive method with a cross-sectional approach. The populations were the 110 mothers with children who experienced diarrhea in January-August, while the numbers of samples taken were 52 samples. Based on the results of Clean and Healty Living Behaviour (CHLB) data recorded 52 respondents, including 31 mothers who gave exclusive breastfeeding (59.61%) and 21 mothers who did not give exclusive breastfeeding (40.38%). The CHLB data also recorded that the 30 respondents used clean water (55,76%), while 22 respondents did not use clean water (44.23%). Moreover, there were 19 respondents had handwashing behavior (36.53), while the other 33 respondents did not have handwashing behavior (63.46%). Lastly, the data shows that 34 respondents used hygienic toilets (65.38%), while 18 respondents did not use hygienic toilets (34.61%).

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Andari Wuri Astuti

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+6287736351159

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jhtam@unisayogya.ac.id

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Universitas 'Aisyiyah (UNISA) Yogyakarta Kampus Terpadu: Jl. Siliwangi (Ring Road Barat) No. 63, Nogotirto, Gamping, Sleman, Yogyakarta 55292 Telepon: (0274) 4469199 Fax.: (0274) 4469204

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Kab. sleman,

Daerah istimewa yogyakarta

INDONESIA

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Abstract

Abstract

Abstract

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Abstract

Abstract

Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Andari Wuri Astuti

Contact Email astutiandari@unisayogya.ac.id

Phone +6287736351159

Journal Mail Official jhtam@unisayogya.ac.id

Editorial Address Universitas 'Aisyiyah (UNISA) Yogyakarta Kampus Terpadu: Jl. Siliwangi (Ring Road Barat) No. 63, Nogotirto, Gamping, Sleman, Yogyakarta 55292 Telepon: (0274) 4469199 Fax.: (0274) 4469204

Location Kab. sleman, Daerah istimewa yogyakarta INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
Andari Wuri Astuti

Contact Email
astutiandari@unisayogya.ac.id

Phone
+6287736351159

Journal Mail Official
jhtam@unisayogya.ac.id

Editorial Address
Universitas 'Aisyiyah (UNISA) Yogyakarta Kampus Terpadu: Jl. Siliwangi (Ring Road Barat) No. 63, Nogotirto, Gamping, Sleman, Yogyakarta 55292 Telepon: (0274) 4469199 Fax.: (0274) 4469204

Location
Kab. sleman,

Daerah istimewa yogyakarta

INDONESIA