scholarly journals Maternal health literacy as an effort to reduce maternal mortality

2021 ◽  
Vol 5 (3) ◽  
pp. 617-630
Author(s):  
Siti Nursanti ◽  
Yanti Tayo ◽  
Wahyu Utamidewi ◽  
Hanna Nurhasanah
Keyword(s):  
Health Literacy ◽  
Maternal Health ◽  
Maternal Mortality ◽  
Qualitative Methods ◽  
General Hospital ◽  
Postpartum Period ◽  
Communication Process ◽  
Study Results ◽  
The Government ◽  
Descriptive Qualitative

The Karawang Regency's progress in reducing maternal mortality through an expanding (EMAS) program does not inherently reduce maternal mortality. The change in the incidence of postpartum mother mortality has led the Government of the Karawang Regency to a breakthrough by implementing an appreciation of the level of mothers’ comprehension during the postpartum period between fathers. This research investigated the extent of the father's communication process in Kelas Bapak to improve the father's awareness of maternal health over the postpartum. This study employs descriptive qualitative methods of research. The study results found that Kelas Bapak inspired families to treat maternal health at the Regional General Hospital of Karawang Regency during the postpartum period. This study concludes that one of the causes of a father's lack of understanding about his mother is that his mother's health is unconcerned during the postpartum period.        

scholarly journals The Interpersonal Communication Strategy between Doctors and Patients

2021 ◽  
Vol 1 (1) ◽  
pp. 01-07
Author(s):  
Karisma Erikson Tarigan ◽  
Margaret Stevani
Keyword(s):  
Qualitative Methods ◽  
Intercultural Communication ◽  
Interpersonal Communication ◽  
Social Process ◽  
Communication Strategy ◽  
Communication Process ◽  
Cultural Barriers ◽  
Successful Communication ◽  
Study Results ◽  
North Sumatra

Communication was a social process in which people used symbols to create and interpret meanings in their environment. The ability to communicate between doctors and patients determined the success of solving a patient's health problems. This study discussed what kind of interpersonal communication that the doctors used on multicultural patients at Mitra Sejati Hospital in North Sumatra, Indonesia. The methods used in this study were qualitative methods by using ethnography study. According to the study results, it was found that the multicultural communication process of doctors and patients initially proceeded in the form of verbal and non-verbal communication. Second, the barriers that occur in intercultural communication were language, perception, and cultural barriers. Third, the doctors used some techniques to make a successful communication, such as recognizing and naming the patient, greeting the patient, shaking hands or touching the patient, explaining the medical action taken, understanding the patient's condition through communication, and giving an opportunity to explain their conditions, gave a silent for a moment, and asked appropriate questions at the level of interpersonal communication with the patient.

scholarly journals GROUPING OF PROVINCES IN INDONESIA BASED ON MATERNAL HEALTH INDICATORS USING VARIABLE WEIGHTING K-MEANS AND FUZZY C-MEANS

2020 ◽  
Vol 9 (1) ◽  
pp. 44
Author(s):  
Elvira Mustikawati Putri Hermanto
Keyword(s):  
Maternal Health ◽  
Maternal Mortality ◽  
Health Workers ◽  
Post Partum ◽  
Immunization Coverage ◽  
Health Indicators ◽  
Fuzzy C Means ◽  
Variable Weighting ◽  
The Government ◽  
Very High

Maternal Mortality Rate (MMR) is an indicator used to assess maternal health as well as the health status of a country. MMR is a target that must be achieved by Indonesian Government in Sustainable Development Goals (SDGs) in 2030. The Government of Indonesia has made various efforts to reduce MMR. This study aims to determine the distribution pattern of indicators for improving maternal health by grouping provinces in Indonesia based on the characteristics of maternal health indicators. The variables used are indicators that affect maternal mortality, namely K4 coverage (x1), Td2+ immunization coverage (x2), maternity assisted by health workers in health facilities coverage (x3), post-partum check up coverage (x4), Puskesmas implementing pregnant classes (x5), Puskesmas implementing P4K (x6), participant of KB coverage (x7) in Indonesia in 2017. The grouping methods are Variable Weighting K-Means (VWKM) and Fuzzy C-Means (FCM). The selection of the best grouping results uses the Internal Cluster Dispersion Rate (icdrate). Based on the analysis results, the best grouping is generated by the FCM method. The icdrate value generated by FCM is 0.325 while the icdrate value generated by VWKM is 0.552. FCM produces five groups which can be categorized as groups with maternal health indicator characteristics with very low, low, medium, high, and very high scores. Provinces in a group tend to be geographically close. East Java and Bali are provinces included in the indicator group of very high maternal health. Papua and West Papua fall into the group for maternal health which is very low.

scholarly journals ANALISIS PENGEMBANGAN OBJEK WISATA UNTUK MENINGKATKAN KUNJUNGAN WISATAWAN PADA TAMAN MARGASATWA DAN BUDAYA KINANTAN KOTA BUKITTINGGI PROVINSI SUMATERA BARAT

2021 ◽  
Vol 3 (1) ◽  
pp. 97-101
Author(s):  
Dewi Anggraini ◽  
Vina Kumala
Keyword(s):  
Data Collection ◽  
Qualitative Methods ◽  
Tourist Attraction ◽  
Role Of Government ◽  
West Sumatra ◽  
The Government ◽  
Role Of The Government ◽  
The City ◽  
Descriptive Qualitative

The city of Bukittinggi as one of the largest tourist cities in West Sumatra has a leading tourist attraction which is one of the oldest zoos in Indonesia. This zoo also displays various Minangkabau cultural attractions, therefore the government named this zoo Kinantan Wildlife and Culture Park (Taman Margasatwa dan Budaya Kinantan). Based on preliminary observations, data shows that the number of tourist visits to Kinantan is not proportional to the level of tourist visits to the City of Bukittinggi. Therefore, an in-depth research is carried out on the development of facilities and the role of the government in that development. This study uses descriptive qualitative methods, with data collection techniques through observation, interviews, and documentation. The results showed that the analysis showed that the role of government in developing Kinantan, namely as a motivator, facilitator, and dynamist has been running well and can increase the number of tourist visits.

scholarly journals On Zero-Inflated Hierarchical Poisson Models with Application to Maternal Mortality Data

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Kassim Tawiah ◽  
Samuel Iddi ◽  
Anani Lotsi
Keyword(s):  
Maternal Health ◽  
Maternal Mortality ◽  
Mixed Model ◽  
Linear Mixed Model ◽  
Health Planning ◽  
Health Sector ◽  
Generalized Linear Mixed Model ◽  
Mortality Data ◽  
Model Framework ◽  
The Government

Count outcomes are commonly encountered in health sector data. The occurrence of count outcomes that exhibit many zeros has necessitated the extension of the ubiquitous Poisson regression model to accommodate the zero inflation and overdispersion as a result of the extra dispersion. We explored different extensions of the Poisson model including mixed models within the generalized linear mixed model framework to account for the repeated measurement of outcomes. These models are applied to maternal mortality data from fifty-six health facilities in four regions of Ghana. The objective is to identify factors associated with maternal mortality. The best-fitting model, the zero-inflated Poisson generalized linear mixed model, revealed that maternal mortality in hospital facilities is influenced by the number of referrals (into and out) of the hospital facility, number of antenatal visits exceeding four, number of midwives, and number of medical doctors at the facility. To be able to achieve targeted results in reducing maternal mortality and achieve the Sustainable Development Goal 3, the government, together with the ministry of health, should provide adequate maternal health services, especially at the district and community level. Additionally, there is a need for increased investment in Community Health Planning Services and related healthcare infrastructure and systems within the context of the Ouagadougou Declaration, that is, improve the training of skilled birth workers (midwives and doctors) and employ them at clinics to deal with labour complications without referring them to major hospitals. Furthermore, a well-structured awareness campaign is needed with importance given to avoiding adolescent pregnancy and improving antenatal care attendance to, at least, four, the gold standard, before delivery. Also, we recommend quality assessment form an essential part of all services that are directed towards improving maternal health and that more emphasis is needed to be given on research with multiple allied partners.

scholarly journals Maternal Mortality and Maternal Health Care in Nigeria: Implications for Socio-Economic Development

2019 ◽  
Vol 7 (5) ◽  
pp. 849-855 ◽  
Author(s):  
Olawale Olonade ◽  
Tomike I. Olawande ◽  
Oluwatobi Joseph Alabi ◽  
David Imhonopi
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Maternal Mortality ◽  
Health Care System ◽  
Socioeconomic Development ◽  
Maternal Health Care ◽  
African Countries ◽  
Sub Saharan ◽  
The Government ◽  
Care System

BACKGROUND: Even though maternal mortality, which is a pregnancy-related death is preventable, it has continued to increase in many nations of the world, especially in the African countries of the sub-Saharan regions caused by factors which include a low level of socioeconomic development. AIM: This paper focuses on cogent issues affecting maternal mortality by unpacking its precipitating factors and examining the maternal health care system in Nigeria. METHODS: Contemporary works of literature were reviewed, and the functionalist perspective served as a theoretical guide to examine the interrelated functions of several sectors of the society to the outcome of maternal mortality. RESULTS: It was noted that apart from the medical related causes (direct and indirect) of maternal mortality, certain socio-cultural and socioeconomic factors influence the outcome of pregnancy. Also, a poor health care system, which is a consequent of weak social structure, is a contributing factor. CONCLUSION: As a result, maternal mortality has debilitating effects on the socioeconomic development of any nation. It is therefore pertinent for the government to improve maternal health and eradicate poverty to ensure sustainable development.

Proses Komunikasi Konseling terhadap Anak Asuh yang Memiliki Kepribadian Introvert

2019 ◽  
Vol 7 (3) ◽  
pp. 351-374
Author(s):  
Sri Wahyuni ◽  
Sachri Ramdhan ◽  
Aliyudin Aliyudin
Keyword(s):  
Data Collection ◽  
Qualitative Methods ◽  
Foster Children ◽  
Research Method ◽  
Communication Process ◽  
Foster Child ◽  
Research Questions ◽  
Descriptive Qualitative

Tujuan dari penelitian ini yaitu untuk mengetahui kondisi anak asuh yang berkepribadian introvert di Panti Asuhan Muhammadiyah Sumur Bandung, proses Komunikasi Konseling di Panti Asuhan Muhammadiyah Sumur Bandung, hasil yang dicapai setelah melakukan komunikasi konseling di Panti Asuhan Muhammadiyah Sumur Bandung. Dengan pertanyaan peneliitian 1) Bagaimana kondisi anak asuh yang berkepribadian introvert di Panti Asuhan Muhammadiyah Sumur Bandung ? 2) Bagaimana proses komunikasi konseling terhadap anak asuh yang memiliki kepribadian introvert ? 3 ) Bagaimana hasil yang dicapai setelah dilakukan komunikasi konseling terhadap anak asuh yang memiliki kepribadian introvert ? Metode penelitian yang digunakan dalam penelitian ini yaitu menggunakan metode kualitatif deskriptif, dengan pengumpulan data berupa observasi, analisis, dan wawancara langsung dengan beberapa anak asuh, kepala panti, dan pembimbing asrama. Hasil proses komunikasi konseling terhadap anak asuh yang memiliki kepribadian introvert dalam aspek rasa malu dan canggung anak asuh dapat bersosialisasi dan berkomunikasi dengan orang lain. Dalam aspek menyendiri anak asuh mulai terbuka dengan pembimbing. Dalam aspek sensitif jika ada kritikan anak asuh dapat menerima dengan lapang nasihat dari pembimbing. Dalam aspek lebih lancar menulis dari pada berbicara anak asuh mulai berani berkomunikasi secara langsung dengan orang lain. Dalam aspek kekhawatiran anak asuh tidak cemas ketika menghadapi permasalahan. The purpose of this study was to determine the condition of introverted foster children at the Muhammadiyah Sumur Bandung Orphanage, the Counseling Communication process at the Muhammadiyah Sumur Bandung Orphanage, the results achieved after conducting counseling communication at the Muhammadiyah Orphanage in Bandung Well. With research questions 1) What is the condition of an introverted foster child at the Muhammadiyah Orphanage in Sumur Bandung? 2) What is the process of counseling communication for foster children who have an introverted personality? 3) How are the results achieved after counseling communication with foster children who have an introverted personality? The research method used in this study is using descriptive qualitative methods, with data collection in the form of observation, analysis, and direct interviews with several foster children, orphanages, and boarding counselors. The results of the counseling communication process for foster children who have an introverted personality in the aspect of shame and awkward foster children can socialize and communicate with others. In the aspect of being alone, foster children begin to open with counselors. In the sensitive aspect, if there is criticism, foster children can receive broadly the advice of the mentor. In the more fluent aspect of writing than talking foster children begin to dare to communicate directly with others. In the aspect of concern foster children are not anxious when facing problems.

scholarly journals "The Actor Is Policy": Application of Elite Theory to Explore Actors’ Interests and Power Underlying Maternal Health Policies in Uganda, 2000-2015

2020 ◽  
Author(s):  
Moses Mukuru ◽  
Suzanne N. Kiwanuka ◽  
Lucy Gilson ◽  
Maylene Shung-King ◽  
Freddie Ssengooba
Keyword(s):  
Maternal Health ◽  
Maternal Mortality ◽  
Policy Process ◽  
Policy Making ◽  
National Policy ◽  
Health Policies ◽  
Mortality Reduction ◽  
Elite Theory ◽  
The Government ◽  
Personal Interests

Background: The persistence of high maternal mortality and consistent failure in low- and middle-income countries to achieve global targets such as Millennium Development Goal five (MDG 5) is usually explained from epidemiological, interventional and health systems perspectives. The role of policy elites and their interests remains inadequately explored in this debate. This study examined elites and how their interests drove maternal health policies and actions in ways that could explain policy failure for MDG 5 in Uganda. Methods: We conducted a retrospective qualitative study of Uganda’s maternal health policies from 2000 to 2015 (MDG period). Thirty key informant interviews and 2 focus group discussions (FGDs) were conducted with national policy-makers, who directly participated in the formulation of Uganda’s maternal health policies during the MDG period. We reviewed 9 National Maternal Health Policy documents. Data were analysed inductively using elite theory. Results: Maternal health policies were mainly driven by a small elite group comprised of Senior Ministry of Health (MoH) officials, some members of cabinet and health development partners (HDPs) who wielded more power than other actors. The resulting policies often appeared to be skewed towards elites’ personal political and economic interests, rather than maternal mortality reduction. For a few, however, interests aligned with reducing maternal mortality. Since complying with the government policy-making processes would have exposed elites’ personal interests, they mainly drafted policies as service standards and programme documents to bypass the formal policy process. Conclusion: Uganda’s maternal health policies were mainly influenced by the elites’ personal interests rather than by the goal of reducing maternal mortality. This was enabled by the formal guidance for policy-making which gives elites control over the policy process. Accelerating maternal mortality reduction will require re-engineering the policy process to prevent public officials from infusing policies with their interests, and enable percolation of ideas from the public and frontline.

scholarly journals PENYELESAIAN MASALAH PERTANAHAN MELALUI MEKANISME MEDIASI OLEH OMBUDSMAN REPUBLIK INDONESIA PERWAKILAN PROVINSI BENGKULU

2018 ◽  
Vol 5 (2) ◽  
pp. 50-55
Author(s):  
Raji Reza Ilahi ◽  
Titiek Kartika ◽  
Alimansyah Alimansyah
Keyword(s):  
Problem Solving ◽  
Data Collection ◽  
Qualitative Methods ◽  
Communication Process ◽  
Joint Decision ◽  
Important Method ◽  
Purposive Sampling ◽  
The Republic ◽  
Using Data ◽  
Descriptive Qualitative

Resolving the problem of land maladministration by the Ombudsman of the Republic of Indonesia through a mediation mechanism is a very important method for both reporting parties and the reported party to find the best solution that benefits both parties. This study aims to find out how the process of problem solving through a mediation mechanism by the Ombudsman of the Republic of Indonesia Representative of Bengkulu Province. This study uses descriptive qualitative methods with informant retrieval techniques, namely purposive sampling. The informants in this study were the Chief Representative; Head of Report Inspection and Verification, Head of Report Inspection Division, Member of Report Inspection and Verification, Member of Report Examination, Secretariat of Ombudsman of Republic of Indonesia Representative of Bengkulu Province and 2 Reporting Persons / General Communities, using data collection techniques for Observation, Interview and Documentation. The results of this study are the process of resolving the land problem through a mediation mechanism carried out by the Ombudsman of the Republic of Indonesia Bengkulu Representative through 3 processes, namely the process of summoning the reporter and the reporter, the Communication Process in Mediation and the Solution produced in the mediation. a case of maladministration using the mediation method, and a solution from the reporting party and the reported party that has been agreed upon in the mediation is completed with the minutes as a result of the mediation on the joint decision.

scholarly journals Tantangan Pariwisata pada Wilayah Perbatasan dalam Era Disrupsi Teknologi: Studi Kasus Regulasi Transportasi Online di Kota Batam, Kepulauan Riau

2020 ◽  
Vol 1 (2) ◽  
pp. 73-81
Author(s):  
Cindy Andini ◽  
Dhani Akbar
Keyword(s):  
Qualitative Research ◽  
Qualitative Methods ◽  
Industry 4.0 ◽  
The Public ◽  
Existing Problems ◽  
Supporting Material ◽  
The Government ◽  
Descriptive Qualitative

One of the products of technological disruption which is currently becoming the prima donna in order to facilitate the public is an online transportation application. Payment is also made easy, namely using e Money. Until now, tourists in Batam have started relying on this application because it is considered easy and safe. This study uses descriptive qualitative methods that aim to explain the existing problems by providing answers to the problems raised. Descriptive qualitative research is a study in which the writer explains the phenomenon that is adapted to the concept and theory as supporting material for proof of writing. Even though it makes it easy and absorbs a lot of workforce, the fact that online transportation is still a controversy has caused chaos and unrest. What policies should be implemented? and how can Industry 4.0 increase competitiveness in this strategic area? The government as a regulator needs to make policies to organize the movement of this transportation so that the conducive situation desired by tourists can be realized.

scholarly journals Fetal and maternal out come in Eclampsia

2016 ◽  
Vol 12 (1) ◽  
Author(s):  
Razia Ashraf Zia ◽  
Aliya Bashir ◽  
Asma Gul ◽  
Arif Tajammal
Keyword(s):  
Maternal Mortality ◽  
Prospective Study ◽  
Pulmonary Edema ◽  
General Hospital ◽  
Perinatal Mortality ◽  
Maternal Complication ◽  
Labor Ward ◽  
Study Results ◽  
Abruptio Placenta ◽  
Made In

Objective: To Study the fetal and maternal complication of patient developed eclampsia. Design: Prospective study. Place and duration of study: Department of Obs. & Gynae Lahore General Hospital Lahore. Patient and methods: This Study way conducted from Aug 04 to Aug 05. All the patients presenting with eclampsia to the labor ward were included in study. Results: A total of 3850admission were made in labour word. During Period and out of them 58 Cases were of eclampsia out of them 20 were Primigravida 22 multi gravida and 16 grand multi gravida. Out 58 patients 31 patient developed the complication of eclampsia, 15, IUGR., 6 abruptio Placenta, 4 PPH, 4 Pulmonary edema and 2 Cerebral in Farcts. Among the new born prematurity was found to be major cause of Perinatal mortality. Conclusion:- Eclampsia is a dreadful complication of Preeclampsia associated with high perinatal and maternal mortality. An improvement in pre-natal consultation should make it possible to reduce its incidence.

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