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Andari Wuri Astuti
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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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Journal of Health Technology Assessment in Midwifery
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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The correlation between the intensity of prenatal yoga participation on anxiety levels for third trimester pregnant women in facing childbirth in Kartasura district Maharani, Hervina Wilhelmina; Nurhidayati, Siti; Argaheni, Niken Bayu; Maulida, Luluk Fajria; Sukamto, Ika Sumiyarsi
Journal of Health Technology Assessment in Midwifery Vol. 5 No. 2 (2022): November
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhtam.2689

Abstract

Background:Data from the World Health Organization (WHO) show that pregnant women experience anxiety by 8-10% during pregnancy, and it increases to 13% when they are about to give birth. The incidence of anxiety in pregnant women in Indonesia reaches 373,000, 28.7% of which anxiety occurs in pregnant women when facing childbirth. Sustained anxiety will increase the likelihood of cesarean section, prolonged second stage, asphyxia and affect fetal neurodevelopment and fetal cognitive. One of the physical exercises that can reduce anxiety is prenatal yoga. The purpose of this study was to determine the relationship between the intensity of prenatal yoga participation on the level of anxiety of pregnant women in the third trimester in facing childbirth in Kartasura District.Methods: Cross-sectional study design. The population in this study were all third trimester pregnant women who did prenatal yoga and did prenatal checkups at midwife Wulan, Anik Midwife Health House and Auliya Husada Clinic with a total population of 42 people. The sample of this study used accidental sampling and total sampling. The research instrument used the Perinatal Anxiety Screening Scale (PASS), and used univariate and bivariate data analysis with the Spearman test.Results: A total of 22 pregnant women who did not participate in prenatal yoga experienced severe anxiety by 54.6% (12 people), while of the 20 pregnant women who participated in prenatal yoga, most experienced mild anxiety by 50% (10 people). Based on statistical tests using the Spearman test, p-value <0.05 was obtained.Conclusion: There is a relationship between the intensity of prenatal yoga participation on the level of anxiety of pregnant women in the third trimester in facing childbirth in Kartasura District.Suggestion: It is hoped that pregnant women who have not followed prenatal yoga regularly participate in prenatal yoga in order to reduce discomfort and anxiety.
Midwives’ knowledge, risk perceptions, preventive behaviour and adherence to infection control regarding Covid-19: Cross-sectional study in Indonesia Rosyidah, Hanifatur; Sutrisminah, Emi; Tamang, Indra Kala
Journal of Health Technology Assessment in Midwifery Vol. 5 No. 2 (2022): November
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhtam.2621

Abstract

Midwives are at the highest risk of getting COVID-19 in maternity wards. This study aimed to assess factors determining the knowledge, attitude and prevention of midwives towards COVID-19 in Indonesia. A cross-sectional online survey was conducted among 478 midwives spreading through whatsapp from December 2020 to January 2021. The factors knowledge, attitude and practice of midwives were estimated using 11, 7 and 7 questions, respectively. A multivariable logistic regression analysis was used on SPSS version 23 to identify factors related to the knowledge, attitude and prevention practice of midwives on COVID-19. Significance was determined at a p value of < 0.05 and association was described by using odds ratio at 95% CI. Among 478 midwives, 92.3% has a good behaviour to protect them from Covid-19, 78.2% have good attitude and 40.2% have poor knowledge.  There was no relationship between respondents' socio-demographic characteristics and their knowledge. The availability PPE, disinfectant and IP guidelines significantly influence preventive behaviour of midwives.Training and availability of equipment are recommended to ensure a good knowledge, attitude and practice of midwives.
Efficacy of early initiation of breastfeeding (EIB) for preventing hypothermia in newborns Muthoharoh, Binti Lu'lu'; Yuriah, Siti; Gustiani, Ria; Agustina, Yaolanda Rizqi; Indrawati, Indrawati; Mufdlilah, Mufdlilah
Journal of Health Technology Assessment in Midwifery Vol. 5 No. 2 (2022): November
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhtam.2211

Abstract

Newborns are at risk of losing body heat after birth. According to UNICEF, the global infant mortality rate is still worrying, in Sub-Saharan Africa, of 29 deaths per 1,000 births. It means that 80% of deaths are caused by asphyxia, complications at birth, hypothermia, and sepsis. In Indonesia, the causes of death for newborns 0-6 days include respiratory disorders (36.9%), prematurity (32.4%), sepsis (12%), hypothermia (6.8%,) and jaundice (6.6%). Evidence suggests some technological interventions in preventing hypothermia in newborns, such as skin-to-skin contact between mother and baby. This study aimed to explore available technological evidence regarding the effectiveness of IMD in the prevention of hypothermia in newborns. The review is based on the integrative review method by following the modified design it consists of identifying topics, identifying problems/questions, collecting data with relevant evidence, evaluating data, analyzing, and interpreting data, concluding, and presenting results. PRISMA flow diagram is used to show the flow of evidence search. The results of the review included 10 articles. From the review, three facts were discovered, namely, EIB can increase temperature, increase breastfeeding levels, and increase low weight loss in the baby's first days. Infant mortality can be prevented with the role of trained health workers during ANC, delivery/postnatal, and EIB during the first/two hours of postpartum to prevent hypothermia.
Virtual learning of midwifery students during Covid-19 Anjarwati, Anjarwati; Wahyuntari, Evi
Journal of Health Technology Assessment in Midwifery Vol. 5 No. 2 (2022): November
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhtam.2204

Abstract

Background:COVID-19 pandemic which has an impact on all aspects of life including the field of education by implementing the learning process conducted from home. This situation forces the world of education to create new adaptations employing virtual learning which has a complex impact on the physical, psychological, social and economic.Objective: to discover the description of online learning for midwifery students during the Covid-19 pandemic.Method: Quantitative research with a descriptive approach was performed on 218 students of midwifery at Universitas Aisyiyah Yogyakarta as many as 2, 4 and 6 semesters. The study was conducted in May 2021 with a sample of 138 students who met the inclusion criteria of D3 Midwifery students study program at Universitas Aisyiyah Yogyakarta who had participated in virtual learning. The research instrument employing a questionnaire includes basic data and a questionnaire for the implementation of online learning. The data were analyzed descriptively to obtain an overview of virtual learning in midwifery students.Result: It was discovered that 78 (56.5%) respondents felt comfortable communicating through electronic media in learning, 120 (87%) respondents did not agree that practical learning skills were easy to understand online and 55 (39.9%) liked learning employed zoom meetings and 41 (29.7) respondents performed the WA group.Conclusion: Online learning is an alternative problem solving during a pandemic, both in theory and practice. Practical learning requires important skills to be performed face-to-face even though the number of meetings and practice groups is limited and the importance of innovation in practice implementation methods in the clinic.
Compliance with DMPA contraceptive injection repeat visits during the Covid 19 pandemic Gita Nirmala Sari; Ananda Putri Setiawan; Novita Rina Antarsih; Yulia Sari; Yudhia Fratidhina; Li Yuting; Eprila Eprila
Journal of Health Technology Assessment in Midwifery Vol 5, No 2 (2022): November
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhtam.2677

Abstract

The 3-month of DMPA injectable contraceptive is one of the contraceptive methods that has decreased in the number of users during the Covid-19 pandemic. Acceptors of 3-month injectable contraceptives who do not comply with visits can reduce effectiveness and increase the risk of pregnancy. This study aims to examine the factors that influence the adherence of 3-month DMPA injection family planning acceptors during the Covid-19 pandemic. This was quantitative research with cross sectional design. The sample used in this study were 125 acceptors of 3-month DMPA injection family planning. Data was obtained by using a questionnaire. The analysis was performed using logistic regression. Based on multivariate analysis, there were 3 factors associated to adherence to DMPA injection repeat visits, namely family planning acceptor occupation　(OR=0.11, 95%CI= 0.04-0.31), knowledge (OR=3.59, 95%CI=1.34-9.58) and husband's support (OR=5.84, 95%CI=2.42-14.08). The most dominant factor was husband's support (OR=6.65, 95%CI=2.51-21.46). Husband's support is the most important factor that is strongly associated to injection repeat visits for DMPA family planning acceptors during the covid 19 pandemic. Good communication between partners is needed to increase DMPA injection repeat visits.
The experience of parents in providing Islamic sexual education to their children Waliyanti, Ema; Maulida, Ni’ma Afni
Journal of Health Technology Assessment in Midwifery Vol. 5 No. 2 (2022): November
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhtam.2577

Abstract

Cases of sexual violence against children are increasing this is due to the lack of sexual education from parents. This happens because they consider sexual education to be taboo and lack of experience in Islamic sexual education for children. The purpose of this study is to explore how parents experience in providing Islamic sexual education to their children. This study uses a qualitative method with a descriptive approach. This research was conducted by in-depth interviews with 11 participants, namely parents who have children aged 0-8 years in the Kalirandu sub-village determined by purposive sampling. Test the validity of the data using member check, thick description, and peer debriefing. In data analysis using software open code 4.03. This research has received an ethical permit from FKIK UMY with the number 034/EC-KEPK FKIK UMY/I/2022. This study shows that the experience of parents in providing Islamic sexual education to children starts from preparing themselves to face the role of parents to providing material on Islamic sexual health for children. Parents in giving their role are tired and confused in providing sexual education so they do some solutions and there are several factors that influence parents in providing Islamic sexual education to their children including the way parents communicate with children, the last education of parents, the negative influence of technology, The perception of sexual education in Islam is a taboo subject, a history of parental illness and the early age of parents' marriage. The experience of parents in providing Islamic sexual education to children affects the future of children, especially related to sexual deviant behavior. Therefore, parents need to prepare themselves in delivering the education so as to minimize the occurrence of risky sexual deviant behavior in children.
Effects of Complementary Alternative Medicine on Hyperemesis Gravidarum: A Systematic Review Finta Isti Kundarti; Ira Titisari; Dwi Estuning Rahayu
Journal of Health Technology Assessment in Midwifery Vol. 6 No. 1 (2023): May
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhtam.2648

Abstract

Background: Nausea and vomiting of pregnancy (NVP) is a common problem for pregnant women. Many pregnant women are worried about the side effects of pharmacological therapy, thus encouraging them to use non-pharmacological therapy. Researchers have recently paid particular attention to complementary medicine methods for the treatment of NVP. With regard to the high prevalence of NVP as well as the adverse effects of chemicals on the mother and fetus of the drug, this study focused on assessing the safety and efficacy of different non-pharmacological methods in eliminating NVP. This systematic review was carried out to assess the safety and efficacy of different non-pharmacological methods in eliminating NVP. Methods: This study used a systematic review method by conducting a literature search through the PubMed database, Cochrane library, Science direct, Proquest, and Google Scholar with publication years starting January 2011 and January 2021. Results: A total of ten articles were selected as part of the final sample according to the inclusion criteria. Of the 10 articles, 2 were about the use of ginger, 3 were about Acupuncture-moxibustion, 2 were about psychotherapy, one was about Progressive muscle relaxation, and 2 were about psychoeducation. Studies have shown a positive effect on NVP reduction; however, no side effects were reported. Conclusion: According to the results of this review, most of the methods used are effective in reducing the incidence of NVP, among which ginger and P6 acupressure can be recommended more reliably.
A Qualitative Study to Explore the Role of Health Workers in Reducing Smokeless Tobacco Consumption in India Neha Mehta
Journal of Health Technology Assessment in Midwifery Vol. 6 No. 1 (2023): May
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhtam.3017

Abstract

India is one of the largest smokeless tobacco consumers globally, leading to devastating health consequences. However, smokeless tobacco still remains poorly understood. Health workers have an essential role in curbing this rise in consumption by offering smokeless tobacco prevention advice. A better understanding of health workers knowledge and practice at offering preventative advice will help strengthen tobacco policies. This study aims to explorethe role of HWs offering SLT prevention advice by identifying facilitators for and barriers against implementation of this opportunistic strategy. Health workers were recruited through purposive sampling and sixteen participants took part in semi-structured online interviews. Data was transcribed verbatim and analysed through thematic analysis. Health workers stated that training was the greatest facilitator but also greatest barrier to providing smokeless tobacco prevention advice. They also thought that training during university was inadequate and external training sources were more beneficial to providing prevention advice. Smokeless tobacco training of a high standard is a major facilitator and needs providing during university and post-gradation. Smokeless tobacco needs prioritisation over smoking tobacco policies in India and stakeholders need to come together to tackle this multi-factorial problem.
Aisyiyah's Role In Preventing Child Marriage In Indonesia: A Qualitative Study Enny Fitriahadi; Islamiyatur Rokhmah; Khusnul Hidayah; Ika Afifah Nugraheni; Deccy Nopiyana
Journal of Health Technology Assessment in Midwifery Vol. 6 No. 1 (2023): May
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhtam.2393

Abstract

The pandemic is having a negative effect on the economies of the most vulnerable households and increasing the risk of child marriage. Millions of children have been badly affected by the COVID-19 pandemic, the most affected are those who are under the socio-economic status of people who are already poor and neglected. The purpose of this study was to analyze in depth the role of Aisyiyah’s strategies to prevent child marriage during the COVID-19 pandemic in Indonesia. This research used a qualitative research type. This research was conducted in a Sub-District of Magelang Regency, Indonesia. The sampling technique used in this research were purposive sampling and snowball sampling. Sub-District Government is very concerned with the prevention of child marriage programs that have been carried out by involving cross-sectors such as Religious Affair Office (KUA), Public Health Center (Puskesmas), Village Advisory Advisor (Babinsa), Midwives, Teacher, and Community Health Workers (Kader Desa). Involving the community and using the rules and norms that have been regulated by the Ministry of Religion, they collaborate with the Religious Affairs Office in implementing these regulations. Suggestions for parents that the role of parents is very important in providing early education about reproductive health in children and adolescents.
Effect of Childbirth Education Program on Maternal Anxiety: A Randomized Controlled Trial Using Roy's Adaptation Model Endang Koni Suryaningsih; Meei-Ling Gau; Chien-Huei Kao; Chieh-Yu Liu; Su-Yu Kuo; Jen-Jiuan Liaw
Journal of Health Technology Assessment in Midwifery Vol. 6 No. 1 (2023): May
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhtam.2862

Abstract

Background: Globally, 5.1 - 37.5 % of mothers suffer from anxiety during pregnancy due to adaptation problems. Childbirth education could enhance knowledge and skills to help mothers prepares to cope with adaptation. However, in Indonesia, the manner program provided following nursing theory as a framework has been absent. Objective: To test the effectiveness of childbirth education program based on Roy's Adaptation Model on maternal anxiety Methods: A randomized controlled trial using a computer random allocation block to allocate participants from five health centers in Yogyakarta has been performed. Pregnant women in the experimental group received a modified childbirth education program in four consecutive weeks comprised of lecturing, counseling, brainstorming, and practicing some essential skills for cope adaptation. A self-developed questionnaire was used to assess the demographic data set, Pregnancy-Related Anxiety Questionnaire-Revised was completed to measure the maternal anxiety during pregnancy. An independent t-test and ANCOVA were used to analyze the data.  Results: A total of 87 pregnant women were analyzed (experimental, n= 52, control, n=35), with a mean age of 23. 92 (SD = 1.89), and 29.14 (SD = 2.10), respectively. After the intervention, the score of maternal anxiety had significantly lower in the experimental group compared with the control group (p < .001). In the T-test analysis, the demographic variables were not related to maternal anxiety. Conclusion: Based on the findings, a modified childbirth education program focus on adaptation change based on nursing theory was effective to decrease maternal anxiety during pregnancy. However, what  the participant perceived in the prenatal education program is one of the salient limitations in this study.

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