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Andari Wuri Astuti
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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 clinical effectiveness of ginger compared to vitamin B6 in reducing hyperemesis gravidarum: Systematic review Pragastiwi, Enggar Avilia; Anjar Wati, Intan Arum; Sari, Siti Nurul Fadhilah; Lubis, Pahyuri; Mufdlilah, Mufdlilah; Listiani, Putri
Journal of Health Technology Assessment in Midwifery Vol. 7 No. 1 (2024): May
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhtam.3236

Abstract

Introduction: Hyperemesis gravidarum refers to an extreme condition of nausea and vomiting that occurs during pregnancy. Nausea and vomiting that harm the mother differ from morning sickness, commonly experienced in early trimester pregnant women. Approximately 14.8% of pregnancies experience symptoms of nausea and vomiting, with occurrence rates ranging from 60-80% among first-time mothers (primigravidas) and 40-60% among women who have had multiple pregnancies (multigravidas). These symptoms become more severe in one in a thousand pregnancies. Purpose: This study aimed to systematically review Ginger's effectiveness compared to vitamin B6 in reducing hyperemesis gravidarum. Method: This is a systematic review of three databases (PubMed, ScienceDirect, and Willey online library). The PRISMA-ScR protocol was employed in this research review, utilizing a Population, Intervention, Comparison, and Outcome (PICO) framework. The population is first-trimester pregnant women who experience Hyperemesis gravidarum using a completely original research article comparing Ginger and vitamin B6 in reducing hyperemesis gravidarum. Results: A significant statistical distinction was observed between the Ginger and the vitamin B6 group concerning the nausea score (mean difference 0.63, CI -0.10-1.35) and vomiting score (mean difference 0.42, CI -0.13, 0.98). Conclusion: Based on the research results, there was no significant difference in the effectiveness of giving Ginger compared to vitamin B6 in reducing hyperemesis gravidarum. However, the analysis showed that the average score of giving Ginger was lower than vitamin B6. The lower the nausea or vomiting score, the better the effect of the intervention. Suggestion: Health workers (doctors and midwives) can use Ginger as an alternative to reduce hyperemesis gravidarum during early pregnancy.
Evaluating the economic screening of cervical cancer using IVA, HPV DNA, and histology methods: Systematic review Rofika, Ana; Ratnasari , Desi; Christiana , Indah; Siti Fatimah, Okta Zenita; ST. Mukarromah; Mufdillah; Listiani , Putri
Journal of Health Technology Assessment in Midwifery Vol. 6 No. 2 (2023): November
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhtam.3255

Abstract

Background: Cervical cancer is a common malignancy causing cancer-related deaths worldwide. Evidence suggests that adequate screening can reduce cervical cancer-related deaths. Screening for cervical cancer can be done using Visual Inspection of Acetic Acid (VIA), HPV DNA and cytology. The economic burden of cancer patients is substantial ranging from US$8,066 to 22,888 per patient. Health cost effectiveness was comparative in the analysis of costs and consequences for the three screening methods. VIA is the most cost-effective primary screening test for cervical cancer. Purpose: To review the research results of a full economic evaluation to encourage the specific cervical cancer screening methods used to enhance the detection of precancerous lesions in women's cervix. Method: This systematic review used the PRISMA ScR framework with a literature search using 3 databases, namely Pubmed, Wiley, and Google Scholar, with years of publication from 2009 – 2023. The data that has been obtained is carried out by critical appraisal using the Consolidated Health Economic Evaluation Reporting Standards (CHEERS). Results: Based on the search for 3,973 selected articles, 7 match the inclusion criteria. This systematic review discovered three major themes: the utility value of health status, cost and analysis. Conclusion: The most cost-effective cervical cancer screening is by VIA. HPV DNA and pap smear based cytology techniques have been reported to show high sensitivity and specificity respectively including being expensive and resource intensive. In contrast the VIA technique has moderate sensitivity and specificity but is less expensive Various developed countries have used Pap or HPV DNA cytology tests as the main screening method, which can lead to a 50-70% reduction in cervical cancer incidence, while in developing countries using VIA tests as a cervical cancer screening method.
Breastfeeding education training program for healthcare professionals: A narrative review Rosyidah, Hanifatur; Khadka, Sabita; Sunah
Journal of Health Technology Assessment in Midwifery Vol. 7 No. 1 (2024): May
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhtam.3538

Abstract

Lack of knowledge and skills regarding breastfeeding education leads mothers to prefer formula milk over exclusive breastfeeding. Breastfeeding education provided by health professional is needed to support mothers to breastfeed their baby exclusively. Methodology: The methodology employed in this study was a narrative review where the researcher critically examines the ideas presented in several studies regarding breastfeeding education training program for health workers. Articles were selected using inclusion criteria: original research, published in English and Indonesian languages, within the last 5 years (2018-2023). A total of 50 articles were found. Ten articles meeting the inclusion criteria were included in the author's review. Conclusion: Breastfeeding education training programs have an impact on the success of breastfeeding mothers. The more healthcare professionals, especially midwives, understand breastfeeding education, the more breastfeeding mothers will be aware of the importance of breastfeeding for their children.
Effectiveness of video versus leaflet education on anemia prevention knowledge among young women: A comparative study Rosyad, Shelly Rodliah; Wulandatika, Darmayanti; Fatimah, Siti
Journal of Health Technology Assessment in Midwifery Vol. 7 No. 1 (2024): May
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhtam.3561

Abstract

Iron deficiency Anemia is a national health problem that is associated with nutritional problems. Knowledge of anemia in adolescents is very necessary as a way of habituation to the consumption of FE tablets with one's own awareness. Through attractive Health Promotion media will increase health awareness by adolescents. Researchers want to aim to determine the difference in the effectiveness of education through video and leaflet media on the level of knowledge of young women about the Prevention of anemia in the city of banjarmasin. This study uses the type of quantitative research with quasi experiment design with pretest posttest approach non-equivalent control group design with pretest and posttest. Sampling technique is done by total sampling. The instruments in this study used questionnaires and statistical analysis using paired t-test to determine the level of knowledge of adolescent girls about anemia and independent t-test to determine the difference in the effectiveness of education through video and leaflet media on adolescent girls ' knowledge about anemia. The provision of education with video and leaflet media on young women's knowledge about anemia Prevention showed no significant difference. The results of this study indicate that the provision of education through leaflet media is slightly more effective than the provision of education through video media
Factors that influence cadre participation in the managing the family planning program in Banjarmasin City Mirawati; Mariati , Nelly; Aulia , Fika; Rahmah , Afiatun
Journal of Health Technology Assessment in Midwifery Vol. 7 No. 1 (2024): May
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhtam.3582

Abstract

The increasing population can lead to complex problems. One way to reduce the population is by implementing family planning programs. The success of the family planning program is largely determined by the participation of family planning cadres in each region. The purpose of this research was to analyze the factors that influence cadre participation in the management of family planning programs. The research method uses a cross-sectional design by analyzing the influence of age, education, length of time as a cadre, appreciation and motivation on participation. The research was conducted in the city of Banjarmasin. The sampling technique used is purposive sampling with a sample size of 61 cadres. Data analysis using the Kruskal Wallis test. The results of the study found that there was an influence of motivation on cadre participation with a p value of 0.005 < α (0.05), while the variables of age, education, length of time to cadre and appreciation did not have a significant effect. The motivation of cadres must always be improved for the success of family planning programs.
Health insurance service model on the basis of patient-centered care: a scoping review Imron, Moh Ali; Astuti, Andari Wuri; Faidullah, Hilmi Zadah; Wantonoro; Fatimah, Siti; Manurung, Khaterina Kristina; Febriyanti, Maya; Siregar, Dedy Revelino; Baros, Wan Aisyah
Journal of Health Technology Assessment in Midwifery Vol. 7 No. 1 (2024): May
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhtam.3607

Abstract

Health insurance provides access to every color of the country to get access to health services in the form of promotive, preventive, curative, and rehabilitative efforts at affordable costs. Integrated health services that focus on patient needs (patient-centered care) will increase the active role of families and communities in making decisions related to health services to be provided and are often associated with health financing and insurance used. This Scoping review aims to explore and map the scientific evidence related to the health insurance model in patient-centered care-based health services. This study uses Arkshey & O'Malley Framework and PRISMA-ScR Checklist. In the identification of articles used using PubMed, EBSCO, ProQuest, Wiley Online Library, and Grey supporting literature such as Google Scholar and appropriate databases. The article inclusion criteria used in the search are primary articles in 2012-2022, articles from relevant Gray literature and databases, scientific articles in English and/ or Indonesian, and scientific articles that focus on the health care insurance model and patient-centered care-based health services. While the exclusion criteria used are articles in the form of guidelines, standard operating procedures, opinion papers, reviews, commentaries, research articles that do not use English and Indonesian, and research articles that focus on medicine-centered care are not included in this review. The keywords used are patient-centered care and health insurance. Assessment of Article quality using the Critical Appraisal Skills Program (CASP) and Joanna Bridge Institute Tools (JBI). A total of 6,388 articles were selected and 14 articles were reviewed. Research articles were reviewed from 8 countries with 12 articles using quantitative research design and 2 articles using qualitative research design. From the review article, the author identified 2 main themes, namely the use of health insurance and the application of patient-centered care. Patient satisfaction among Health Insurance users is higher than patients who do not use health insurance because health insurance provides financial protection for health services. The use of health insurance based on patient-centered care is expected to provide positive benefits to health services such as improving patient healing, reducing unnecessary actions/ care, and reducing the length of hospital treatment so that it is expected to reduce the financing made by patients and health insurance used.
The new generation of "Ruang Sehati” portable lactation pod as a part of wellness tourism in Yogyakarta City: A design thinking method Okinarum, Giyawati Yulilania
Journal of Health Technology Assessment in Midwifery Vol. 7 No. 2 (2024): November
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhtam.3610

Abstract

Public lactation rooms in popular tourist destinations continue to fall short of the Indonesian government's basic guidelines. Thus, we developed the first portable lactation pod in Indonesia, focusing on user demands. This study employed the design thinking method, combined with qualitative research and quality improvement techniques that focus on user needs. Thirty participants were interviewed on different days, Saturday and Sunday, in the first week of July, with each interview lasting 30 minutes. The interview was only conducted at the "empathize" and "testing" stages. From July to September 2023, the stages of "empathize," "define," "ideate," "prototype," and “test” were completed. Four themes were found during the development process of the newest generation of the portable lactation pod, "Ruang Sehati.” These themes are the essential elements lactating mothers and their babies need at the portable lactation pods in tourist destinations: functional, natural, aesthetic, and educational elements. The harmonization of architectural art, tourism, and health would enable us to bring this innovation to build a national pilot initiative that promotes wellness tourism in Yogyakarta.
The effectiveness of baby massage in increasing baby weight Cahya, Sara Eka; Rokhanawati, Dewi
Journal of Health Technology Assessment in Midwifery Vol. 7 No. 2 (2024): November
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhtam.3612

Abstract

Babies born with low birth weight (LBW) are more vulnerable to health issues and are a leading cause of neonatal death. Globally, cases of low birth weight in the world reach 15.5%, with 90% of them occurring in developing countries. The aim of the review was to identify evidence regarding the effectiveness of baby massage in increasing baby weight. This Scoping Review was referring to the steps taken by Arksey and O'maley, the articles included published from 2018 to 2023, in English and Indonesian and focus on baby weight gain, in the The data source from journals were accessed via the Pubmed, Wiley, and Google Scholar databases. 103 journals were filtered, 96 journals were excluded, 7 articles were taken based on title and abstract, 7 journals were assessed for eligibility, 2 were excluded because they did not meet the inclusion and exclusion criteria, the journal was included in the review 5 who meet the requirements. This research carried out Critical Appraisal according to the design in the research journal, namely Critichal Appraisal Randomized Control Trial and Critichal Appraisal Quasi Experiment. A scoping review of 5 journals regarding the effectiveness of baby massage in increasing baby weight identified the main research theme, namely giving massage to babies, factors that influence baby massage and obstacles to carrying out baby massage. Based on the results of the four journals it can be concluded that baby massage is effective. in baby weight gain.
Factors influencing implementation early initiation of breastfeeding (IMD ) in post partum mothers: A scoping review Febriyani, Irma; Rokhanawati, Dewi
Journal of Health Technology Assessment in Midwifery Vol. 7 No. 2 (2024): November
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhtam.3619

Abstract

Implementation of early initiation of breastfeeding (IMD) is the act of giving breast milk to babies within one hour after birth. In postpartum mothers, there are various factors that influence the implementation of IMD, such as the level of knowledge, education and support from the surrounding environment. A deeper understanding of these factors is essential to improve IMD implementation and promote optimal breastfeeding practices. To map evidence related to factors that influence the implementation of IMD in postpartum mothers. This type of research,  namely  Scoping Review, refers to the steps  of  Arksey  and  O'maley,  the framework  used is PEOS, the articles selected are articles from 2019 to 2023, articles in English and Indonesian and articles that focus on the  factors  that  influence  implementation  Early initiation of breastfeeding, in selecting articles using the Prisma Flow Chart Checklist, data  sources from journals were  accessed via the Pubmed, Wiley, and Google Scholar databases with the keywords (influencing factors) AND (early initiation of breastfeeding) which resulted  in  295  journals,  after  going through several stage  obtained  5 journals.  This research carried out a Critichal Appraisal according to the design in the research journal, namely cross-sectional Critical Appraisal. Based on 295 selected journals, only 5 articles were reviewed based on the inclusion criteria, Early Breastfeeding Initiation Has Various Factors that Influence the Success of Early Breastfeeding Initiation, namely Knowledge, Education, Attitude and Family Support. It is expected that this scope review will include further tracing of accessible databases to support this.
The relationship between childhood trauma in mothers and maternal-fetal attachment: A scoping review Suryaningsih, Endang Koni; Abuk, Elfrida Yustina; Mufdlilah, Mufdlilah
Journal of Health Technology Assessment in Midwifery Vol. 7 No. 2 (2024): November
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhtam.3757

Abstract

An unpleasant childhood experience for a mother can be a risk factor that negatively impacts both the mother herself and her offspring. This review highlights the complexity and significant impact of childhood trauma on the maternal-fetal attachment relationship, emphasizing the need for a holistic approach in supporting maternal well-being and the positive development of the baby being conceived. The objectives of this review were (1) to identify the factors that affect the maternal-fetal attachment relationship, (2) to find out the relationship between childhood trauma in mothers and maternal-fetal attachment, (3) to identify the supporting and inhibiting factors of childhood trauma that affect maternal-fetal attachment.  The databases used in the search literature include Ebsco, Willey, PubMed, and ScienceDirect with articles from 2019 to 2023.The databases used in the search for lie tarur include Ebsco, Willey, PubMed, and ScienceDirect with articles from 2019 to 2023. Critical appraisal uses JBI's checklist, which includes all articles in category A. Seven articles are included in the inclusion criteria. The four themes obtained were the influence of the emotional environment on maternal-fetal attachment, sociodemographic characteristics, the relationship between maternal-fetal attachment and postnatal development, and the measurement of the relationship between prenatal, depression, and anxiety in mothers. The conclusion of this review is that maternal attachment during pregnancy plays an important role in predicting a child's emotional health and development, which emphasizes the need for holistic mental health care and adequate social support to reduce the negative impact of childhood trauma.

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