scholarly journals Feasibility of Kangaroo Mother Care (KMC) Implementation in Depok City, Indonesia

2021 ◽  
Vol 8 ◽  
pp. 2333794X2110123
Author(s):  
Tiara Amelia ◽  
Hadi Pratomo ◽  
Asri C. Adisasmita ◽  
Evi Martha ◽  
Yeni Rustina ◽  
...  

Background: The infant and neonatal mortality rate in Depok City is still high, with low birth weight (LBW) and premature births being one of the main causes. In 2018, 14 out of 41 cases of early neonatal death were due to LBW. Studies show that Kangaroo Mother Care (KMC) can prevent or reduce LBW deaths caused by hypothermia, but the implementation is still not evenly distributed. Objective: Describe KMC feasibility as a supporting material for a KMC policy umbrella at Depok City. Method: Qualitative research was conducted with a Rapid Assessment Procedure (RAP) design. A total of 56 informants were divided into 8 discussion groups, 7 in-depth interviews and 2 Focus Group Discussions (FGD). The types of informants were families and inter-sectoral officers. Thematic analysis was used to analyze the data. Results: KMC implementation feasibility in Depok City in terms of facilities and infrastructure was still limited and the quality was insufficient. The number of human resources was still limited, and the competency was still not evenly distributed. LBW family readiness can be maintained if provided with complete and accurate knowledge; therefore, a strong commitment may develop to continue KMC at home. The potential sources of KMC financing are found at health facilities and inter-sectoral; however, to use it, a legal umbrella at the city district level is necessary. Conclusions: The factors of potential financing sources need to be followed up into a priority. This is to overcome the constraints of KMC feasibility implementation.

2021 ◽  
Vol 8 (3) ◽  
pp. 291-301
Author(s):  
Heltty Heltty ◽  
Ratna Sitorus ◽  
Evi Martha ◽  
Nury Nusdwinuringtyas

Abstract Objective Post-stroke urinary incontinence (UI) is one of the sequelae of stroke. This situation affects all aspects of the patient's life – physically, psychologically, socially, and spiritually. This study aimed to investigate the experience of patients’ success in facing a post-stroke UI. Methods A qualitative study using the Rapid Assessment Procedure (RAP) approach was used in this study. Informants were selected using purposive sampling. In-depth interviews with as many as 8 patients who had recovered from post-stroke UI and living in the greater area of Southeast Sulawesi (Indonesia) were conducted. In-depth interviews were also conducted with 8 caregivers and 2 nurses. Data were analyzed using a thematic analysis approach and interpretation of data was based on Humanbecoming theory and Self-care deficit theory of nursing. Results Five successful things the patients experienced during post-stroke UI were identified. The five successes were as follows: they provided information to get to know and understand post-stroke UI, followed the procedures to overcome post-stroke UI, conducted self-control exercises and stayed motivated, performed daily activities independently according to ability, and made use of family support and peers’ attention. Conclusions These findings indicated that persistence, belief, independence, and social support (family and peer) made patients to successfully face their post-stroke UI and improved their quality of life. These findings also became the basis for developing a post-stroke UI management model based on Humanbecoming theory and Self-care deficit theory of nursing.


2017 ◽  
Vol 6 (3) ◽  
pp. 127
Author(s):  
Abdul Gani Hasan ◽  
Wiku B.B. Adisasmito

AbstractBackground: The purpose of analyzing the policy of utilization of JKN capitation fund at FKTP Puskesmas in Bogor Regency refers to Permenkes 21 year 2016. Method: Qualitative with Rapid Assessment Procedure, in-depth interview on 12 informant, purposive sample, related to research objectives. Results: There is a high disparity of capitation funds for puskesmas covering participants, capitation norms, number of doctors and the ratio of doctors between various puskesmas. In-depth interviews found the difficulty of fulfilling the ideal physician ratio, low capitation norms indicated the low quality of the puskesmas, not all the puskesmas did the proper planning process, the small capitation clinics were difficult in the operational and the overwhelming operational and potentially piled up, Drug fulfillment is constrained by procurement, the potential for overlapping capitation with BOK and the quality of physician services decreases in the ratio of physicians per large participant. Conclusions and suggestions: The ratio of physicians to participants is still below the standard of 1: 5000 participants need equalization effort, 60% capitation portion for services and 40% other opersional, different sufficiency there should be operational fund backups for the less, the disincentives of service need to be reviewed, Capitation of 40% portion can be complementary with BOK, the rest of the budget is advantageous if the activity alternative can be effectively efficient according to society requirement, need improvement of drug procurement mechanism, budget flexibility need to be pushed PPK-BLUD at puskesmas.Keywords: capitation; FKTP; PuskesmasAbstrakLatar Belakang : Tujuan menganalisis kebijakan pemanfaatan dana kapitasi JKN pada FKTP Puskesmas di Kabupaten Bogor mengacu Permenkes 21 tahun 2016. Metode : Kualitatif dengan Rapid Assesment Procedure, wawancara mendalam pada 12 informan, sampel purposive, terkait tujuan penelitian. Hasil : Terdapat disparitas tinggi dana kapitasi puskesmas meliputi peserta, norma kapitasi, jumlah dokter dan rasio dokter antara berbagai puskesmas. Wawancara mendalam didapatkan sulitnya pemenuhan rasio dokter ideal, norma kapitasi rendah menunjukkan kuantitas kualitas puskesmas rendah, belum semua puskesmas melakukan proses perencanaan dengan benar, puskesmas kapitasi kecil sulit dalam operasional dan yang besar berlebih operasional dan berpotensi menumpuk, penentuan poin cukup jauh berbeda antar tenaga, pemenuhan obat-obatan terkendala oleh pengadaan, potensi overlapping kapitasi dengan BOK dan kualitas pelayanan dokter menurun pada rasio dokter per peserta besar. Kesimpulan dan saran : Rasio dokter dengan peserta masih dibawah standar 1:5000 peserta perlu upaya pemerataan, porsi kapitasi 60% untuk Jasa dan 40% opersional lain, ketercukupannya berbeda perlu ada backup dana operasional untuk yang kurang, adanya disinsentif jasa pelayanan perlu dikaji ulang, kapitasi porsi 40% dapat komplementer dengan BOK, sisa anggaran menguntungkan bila alternatif kegiatan mampu efektif efisien sesuai kebutuhan masyarakat, perlu perbaikan mekanisme pengadaan obat, dalam fleksibilitas anggaran perlu didorong PPK- BLUD pada puskesmas.Kata kunci : kapitasi; FKTP; Puskesmas


2021 ◽  
Author(s):  
Sriwidi Astuti ◽  
Sapto Adi ◽  
Suci Puspita Ratih

Teenage pregnancy is known to significantly impact the health of mothers and babies. Lack of preparations and poor knowledge might lead teenage mothers to have difficulties in practicing good parenting. Therefore, it is essential to assess parenting styles in adolescents with unwanted pregnancy (UP). This study aimed to analyse how teenage mothers with unwanted pregnancy nurture their babies. This research used a qualitative method with Rapid Assessment Procedure (RAP) study design. In-depth interviews, triangulations and observations were employed to obtain the data. Six informants participated in this study who were chosen purposively based on the inclusion criteria. The results showed that all informants took care of their babies by themselves. However, the majority of them showed inadequate exclusive breastfeeding (EBF), immunization and posyandu (Indonesian-integrated health post system) visit. Lack of informants’ understanding was found to be the leading factor of the inadequacies. Keywords: parenting, unintended pregnancy, adolescent, sexual health


2020 ◽  
Author(s):  
Sriwidi Astuti ◽  
Suci Puspita Ratih ◽  
Agnisa Maulani Wisesa ◽  
Sapto Adi

At present, 15-19 year olds account for 8.3% of the total population aged in Indonesia. As many as 58.8% of these adolescents aged 15-19 years have experienced pregnancy, while another 25.2% are expecting pregnancy. The number of unwanted pregnancies in Indonesia reached 34.1% in 2018. The purpose of this study is to analyze the role of male partners (or husbands) in caring for the children of unwanted pregnancies amongst adolescents. This research uses a qualitative method with the Rapid Assessment Procedure (RAP) design study. Data was collected from in-depth interviews, observation, and triangulation. This research found that the informant’s knowledge about reproduction does not have as much influence as the role of male partners as well as support. The majority of the married informant’s partners are excited when the pregnancy revealed, while if the pregnancy is outside marriage, most male partners are willing to marry the informants as a form of taking responsibility. Keywords: early marriage, gender equality, maternal health, unwanted pregnancy


2020 ◽  
Vol 15 (2) ◽  
Author(s):  
Hilyatul Fadliyah ◽  
Manendra Muhtar ◽  
Munih Munih ◽  
Sylviasari Risgiantini ◽  
Weny Wulandary ◽  
...  

The coronavirus disease 2019 (COVID-19) pandemic, caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) was declared a public health emergency in many countries, including Indonesia. The World Health Organization (WHO) released an educational video, entitled "How to Protect Yourself Against COVID-19", which explained how to prevent the spread of COVID-19. This study is a qualitative study that aims to pre-test this video, based on the Information, Education, Communication (IEC) theory, by analyzing teenagers’ perceptions of the video. The design used was a Rapid Assessment Procedure (RAP), and the data were collected by conducting in-depth interviews with participants, through virtual meetings. The data were analyzed using a qualitative data matrix and thematic analysis. The results showed that all participants found the video regarding the prevention of COVID-19 spread to be attractive and comprehensible. In addition, the participants felt that the contents of the video were not contradictory to their personal values and that the message was targeted to everyone, including themselves. The video was also perceived to be persuasive. Overall, the participants held a generally positive perception of the video. 


2021 ◽  
pp. 1-27
Author(s):  
Novita Putri Rudiany ◽  
Silvia Dian Anggraeni ◽  
Gita Meysharoh Nurhidayah ◽  
Muhamad Firmansyah

Summary Energy diplomacy is usually conducted by national governments. However, the case of sister city co-operation between the cities of Surabaya, Indonesia, and Kitakyushu, Japan, shows how substate actors can perform energy diplomacy by developing technology to create public spaces that apply energy efficiency and energy-saving principles. This article offers a new angle on energy diplomacy by elaborating on the role of the city government. To future-proof our perspective, we applied qualitative methods by gaining data from in-depth interviews and focus group discussions, then triangulated the result from the literature about energy diplomacy. The article argues that energy diplomacy has expanded in the sense that it is now carried out at municipal as well as national level and yet still adheres to states’ foreign policy agendas in the energy sector. These substate actors ultimately strengthen the principle of energy utilisation that has been regulated at the national level within the framework of bilateral co-operation with other substate actors.


2018 ◽  
Vol 39 (1) ◽  
Author(s):  
Collium Banda ◽  
Gift Masengwe

How can we make theological sense of the resilience of the fear of witchcraft among indigenous Zimbabwean Christians? From the perspective of the transcendence and immanence of God, this article analyses the resilience of the fear of witchcraft among African Christians in Zimbabwe. The article uses results of a case study conducted in Zimbabwe in a congregation belonging to the Churches of Christ in Zimbabwe (COCZ) in the city of Bulawayo. Using focus group discussions and in-depth interviews, the study affirms that many African Christians struggle to overcome the fear of witchcraft in their lives. Witchcraft is feared because it is primarily viewed as an evil power that destroys life. The article analyses the awareness of witchcraft, the experiences of witchcraft and the responses to witchcraft among Zimbabwean Christians. The article proposes that African Christians be grounded on the transcendence and immanence of God as a way of overcoming the enduring fear of witchcraft.Intradisciplinary and/or interdisciplinary implications: A meaningful response to the fear of witchcraft in Africa requires a multidisciplinary approach including phenomenology of religion, Christian doctrines and practical theology and pastoral care. The immanence and transcendency of God in a context of fear of witchcraft must be unpacked in the light of insights from phenomenology of religion, African traditional religions, discipleship and pastoral care.


SPAFA Journal ◽  
2018 ◽  
Vol 2 ◽  
Author(s):  
Jame Monren Tapalla Mercado ◽  
Eric Babar Zerrudo

Heritage constitutes the identity of a community. An important heritage of a community is food, often defined as culinary or gastronomic heritage. This mixedmethod research developed a safeguarding plan for culinary heritage, specifically for lomi in Lipa City, Batangas, using the Statement of Significance. Different theoretical paradigms were used, especially anthropological theories like acculturation and modernization, and conservation frameworks such as UNESCO, ICOMOS and GCI heritage charters and conventions. To trace the significance of lomi, the researchers collected physical evidence by visiting and observing lomi houses, or lomians (restaurants dedicated to serving the lomi dish), in Barangay Poblacion focusing on the preparation of this food using Cultural Heritage Mapping and SWOT Analysis; oral evidences by conducting focus group discussions; in-depth interviews with different stakeholders; surveys in the local community; and archival evidence from different journals and books. Lipa lomi is significant in its historical, culinary, aesthetic, economic, health, social and symbolic aspects. Historically, it was introduced by To Kim Eng, a native from Amoy (now Xiamen) who established the first lomian in the city, Panciteria de Lipa. As the community accepted this culinary tradition, different lomians were established not only in the city but also in the whole province and became a localized business industry. Even though it was Chinese in origin, it follows the characteristics of Batangas cuisine wherein it focuses on the natural flavour of fresh ingredients and the simplicity of the cooking methods. Also, it is economically important because it became a good source of income and because of its affordability as a commercialized dish. Socioculturally, the culinary tradition is also important for the local community and its relationship to their religious culture. Perspectives of different stakeholders on the characteristics and identities of Lipa Lomi are identical and acceptable but it changes based on trends, issues and constraints. For the stakeholders, viability is important for the culinary tradition as it is agreed that it is one of the culinary identities and an attraction of Lipa and its community. Stakeholders also have their own movement to safeguard and sustainably develop the culinary tradition. A proposed culinary safeguarding plan was established based on the results of the research.


Author(s):  
Evan Sparta Sarempaa ◽  
Eddy Mantjoro ◽  
Vonne Lumenta

AbstractNorth Sulawesi is one of the provinces in Indonesia which have large fisheries potential. The province has made the results of operations and marine fisheries as one of the featured products to spur increase revenue. Then formulated some questions that become problems in this study 1). How is the post-moratorium fishing company in Bitung 2). Is this moratorium policy implementation can enhance the progress of the fishing company in Bitung 3). How do enterprise solutions to meet the needs of the company, when applied moratorium on fishing in Bitung.This study aims to 1) .To obtain scientific data about the condition of the fishing company Post moratorium on fishing in Bitung 2) .To determine the effect of the implementation of the moratorium policy of the condition of the fishing company in Bitung. The method used in this research case study approach. Retrieval of data taken in two fishing companies, namely PT. Sari Tuna Makmur and PT. Blue Ocean Grace International in Bitung City District of Aertembaga, data collection is done by observation and in-depth interviews. 1.Conditions fishing company in Bitung post-moratorium by the Minister of Marine and Fisheries in November 2014 are as follows: a) The number of vessels decreased from 3,213 in 2014 to 2,222 in 2015 and then rose to 3,165 in 2016. b) Production of fish reduced from 111,315.53 in 2014 to 45208.52 in 2015 then production rises, namely 46522.77 2016. c) The increase in the market price of skipjack Winenet, Girian and TPI of the normal price 12500-14000, in 2014 rose to 17000-20000 in 2015 and 2016. As for the Tuna from the standard price of 32000-35000 in 2014 and rose to 50000-55000 in 2015 and 2016. Then for the fish Deho from 5000-8000 at the normal price in 2014, rose to 9000-12000 in 2015, and rose to 12,000-15,000 in 2016. d) Increased export of fishery company PT. STM of 196,034.50 in 2014 to 294,911.4 in 2015 and falling back to 200,403.95 in 2016. e) The increase in exports of fishery company PT. Bogi of 116,196.20 in 2015 to 285,797.3 in 2016. 2. Moratorium Policy turn out to be a positive impact on the company's progress fishery indicated by the decline in the economic sector in Bitung. 3. It was not able to improve the progress of the fishing company in the city of Bitung in general and in particular. 1. moratorium greatly affect the fishing company therefore Policy Minister about the moratorium should be revoked. 2. This study still needs further research is therefore suggested that interested readers can conduct advanced research.Keywords: fisheries, companies, moratorium, conditions


Author(s):  
Dian Purnomo Jati ◽  
Agus Suroso ◽  
Lusi Suwandari

The concept of innovative village initiated by Central Java Provincial Government contains the essence of utilization of village resources in a new way based on science, technology, and local wisdom for community welfare, village progress and improved living standards by involving all elements of the village. The research aimed to explore the characteristics of villages in Banyumas Regency that potentially served as an innovative village. The research phase began with focus group discussions to assess the potential of villages using rapid assessment and quantitative analysis of the Analytical Hierarchy Process. The discussion resulted in a list of 22 villages that were screened out through rapid assessment into 7 villages. The results of the focused group discussion also resulted in eight dimensions used as an instrument to select innovative village, namely: 1) empowerment of village potentials innovatively, 2) support of institutional system and village infrastructure, 3) capacity and commitment of rural apparatus, 4) technological accessibility by the community, 5) community participation, 6) tourism potential, 7) agricultural / plantation / forestry potential, and 8) livestock / fishery potential. The results of paired comparisons using AHP selected Kalisari village at Cilongok sub-district as an innovative village. Field surveys, observations and in-depth interviews were conducted in Kalisari village with respondents of village communities, village apparatuses, and district government agencies.Keywords: Model, Village, Innovative, Kalisari, Potency.


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