Perilaku gizi dan hidrasi selama kehamilan berhubungan dengan konstipasi

Background: Prevalence of constipation in pregnant women is estimated at 11-38%. Impact of constipation in pregnant women are haemorrhoids and decreased quality of life. Meanwhile, determinants known to influence constipation during pregnancy are hormonal changes, poor diet, low physical activity and lack of fluid consumption. Objectives: Identify the determining factors that can affect occurrence of constipation and investigated the difference based on constipation status among pregnant women in Public Health Centre in Jakarta, Indonesia;Methods: This research was a cross sectional design conducted in July 2019 to October 2019. The subject was pregnant women. We used accidental sampling method to recruit subjects in Public Health Centre, Kebun Jeruk, West Jakarta. We measured the determining factors of constipation among pregnant women. Characteristic of pregnant women, knowledge, attitudes and practices were measured by questionnaires. Anthropometrics data for weight, height, and mid arm circumference were measured. Haemoglobin level was also measured. Bivariate analysis using Pearson or Spearman was used to investigate which factors associated significantly with constipation among pregnant women. We also assessed the difference of characteristic of pregnant women, knowledge, attitudes and practices using differential analysis (Mann-Whitney U-test). Results: The results showed that prevalence of constipation was 30%. Differential analysis showed that mothers who experienced constipation had a younger age and low nutritional and hydration behaviour scores. Other variables such as gestational age, weight before pregnancy, upper arm circumference, height, haemoglobin, knowledge score and nutritional attitude and hydration did not show significant differences based on constipation status. Correlation analysis showed an inverse relationship between maternal age and incidence of constipation, with r = 0.242 and a p-value = 0.015. Maternal age, nutritional behaviour and hydration also showed significant inverse relationship with incidence of constipation (r = -0.206 and p-value 0.039);Conclusion: Nutritional and hydration behaviour during pregnancy was related to the occurrence of constipation. Mothers are advised to have good nutrition and hydration behaviour to prevent constipation.

Download Full-text

KORELASI PENDIDIKAN DAN UMUR DENGAN PENGETAHUAN IBU HAMIL TRIMESTER III TENTANG ASI EKSKLUSIF

Oksitosin : Jurnal Ilmiah Kebidanan ◽

10.35316/oksitosin.v5i1.356 ◽

2018 ◽

Vol 5 (1) ◽

pp. 17-24

Author(s):

Eva Putriningrum ◽

Nurul Khasanah

Keyword(s):

Public Health ◽

Breast Milk ◽

Pregnant Women ◽

Health Centre ◽

Sampling Technique ◽

P Value ◽

Third Trimester ◽

Chi Square ◽

Cross Sectional ◽

Public Health Centre

The exclusive breast milk is feed baby only with the breast milk until the age of six months without any additional liquid or food. The scope of exclusive breast milk in Yogyakarta does not reach the expected rate amount 80%, one of them was in Public Health Centre of Kota Gede I. Low rate success of exclusive breast milk feeding was affected by many factors, such as lack of information regarding breast milk and misunderstanding of information about breast milk. This research aims to analyze the correlation between education and age, with knowledge of pregnant women at third trimester about exclusive breast milk in Public Health Centre of Kota Gede I, Yogyakarta. The design of this research used analytic survey with a Cross-Sectional design and 30 pregnant women at third trimester as samples, with the saturated sampling technique. The statistical test used Chi-Square Test. This research showed that there is a correlation between education and knowledge with p-value of 0,019 and odd ratio value of 9,33; there is a correlation between age and knowledge with p-value of 0,004 and odd ratio value of 20,0. It can be concluded that there is a correlation between education and age, with knowledge about exclusive breast milk. Keywords: Education, Age, Knowledge, Exclusive Breast Milk ABSTRAK ASI eksklusif merupakan pemberian ASI saja pada bayi sampai usia enam bulan tanpa tambahan cairan ataupun makanan lainnya. Cakupan ASI eksklusif di Kota Yogyakarta belum mencapai angka yang diharapkan yaitu 80%, salah satunya adalah di Puskesmas Kotagede I. Rendahnya cakupan keberhasilan pemberian ASI eksklusif dipengaruhi banyak hal, salah satunya adalah kurangnya informasi mengenai ASI atau salah dalam memahami informasi mengenai ASI. Tujuan penelitian ini adalah untuk menganalisis korelasi antara pendidikan dan umur, dengan pengetahuan ibu hamil trimester III tentang ASI eksklusif di Puskesmas Kota Gede I Yogyakarta. Desain penelitian ini menggunakan survey analitik dengan rancangan Cross Sectional, dengan sampel 30 ibu hamil Trimester III dan menggunakan teknik sampling jenuh. Uji statistik yang digunakan adalah Chi Square. Hasil penelitian menunjukkan terdapat korelasi antara pendidikan dengan pengetahuan dengan nilai p sebesar 0,019 dan nilai odd ratio sebesar 9,33, dan terdapat korelasi antara umur dengan pengetahuan dengan nilai p sebesar 0,004 dan nilai odd ratio sebesar 20,0. Dapat disimpulkan bahwa terdapat korelasi antara pendidikan dan umur, dengan pengetahuan tentang ASI eksklusif. Kata Kunci : Pendidikan, Umur, Pengetahuan, ASI Eksklusif.

Download Full-text

PENGARUH PARTISIPASI IBU DALAM KELAS IBU HAMIL TERHADAP CAKUPAN K4

Indonesian Midwifery and Health Sciences Journal ◽

10.20473/imhsj.v3i3.2019.265-277 ◽

2021 ◽

Vol 3 (3) ◽

pp. 265

Author(s):

Lilik Anggraini ◽

Sunarsih Sunarsih ◽

Baksono Winardi

Keyword(s):

Public Health ◽

Antenatal Care ◽

Pregnant Women ◽

Health Centre ◽

Correlation Coefficients ◽

P Value ◽

Cross Sectional ◽

Public Health Centre ◽

Significance Level ◽

Strong Conclusion

Abstrak Latar Belakang : Kelas Ibu Hamil (KIH) adalah kelompok belajar ibu-ibu hamil dengan anggota maksimal 10 orang yang merupakan sarana untuk belajar bersama. Puskesmas Menur merupakan puskesmas yang terendah cakupan K4 66,93% dari target 90%. Jumlah peserta dari kelas ibu hamil sendiri 3,4%. Tujuan dari penelitian ini adalah menganalisis pengaruh partisipasi ibu dalam kelas ibu terhadap cakupan K4. Metode dan Bahan Penelitian : Jenis penelitian ini observasional analitik dengan pendekatan cross sectional. Besar sampel sebanyak 44 orang, dengan teknik pengambilan sampel accidental sampling. Variabel Independent yang diukur adalah partisipasi ibu dalam kelas ibu hamil sedangkan variabel dependent adalah cakupan K4. Pengambilan data dengan menggunakan kuisioner untuk mengukur partisipasi ibu dalam kelas ibu hamil dan cakupan K4 dengan mengobservasi dari buku KIA dan kohort. Analisis data menggunakan uji statistik Spearman Rho’ dengan α= 0,05. Hasil : Sebagian besar ibu hamil (65,9%) memiliki partisipasi baik, ibu hamil yang berpartisipasi baik sebagian besar (61,4%) cakupan K4 lengkap, dan ibu hamil yang berpartisipasi kurang sebagian kecil (13,6%) cakupan K4 tidak lengkap. Pada analisis data didapatkan p value = 0,004 (p<0,05) artinya ada pengaruh partisipasi ibu dalam kelas ibu hamil terhadap cakupan K4. koefisien korelasi 0,421 yang berada pada rentang 0,40 – 0,599 bermakna kekuatan korelasi antar variable sedang. Sedangkan angka koefisien korelasi pada hasil diatas bernilai positif,, sehingga pengaruh kedua variable tersebut bersifat positif yang kuat. Kesimpulan : ada pengaruh partisipasi ibu dalam kelas ibu hamil terhadap cakupan K4 di Puskesmas Menur Kecamatan Kota SurabayaAbstract Background: Maternal Class is a study group pregnant mothers with members a maximum of 10 to learn together. Menur Public Health Centre is the lowest completeness (K4) ANC of maternal 66,93% from target 90%. Total of participants from the maternal class just 3,4%. This research aims to analyze the influence of maternal class participant to completeness (K4) Antenatal care. Methods and Material: the research was conducted using quantitative observational analytic with cross sectional study approach.. The number of research is 44 pregnant women. The Accidental sampling method is apllied in taking the sample in this research. Data collected by quistionaire to determine participation in maternal class and completeness seen by observing MCH books and cohort. Data analyzed by Spearman Rho’statistic test at significance level α=0,05. Results: Most (65,9%) have a good participation in maternal class, most pregnant women who have good participation (61,4%) have K4 antenatal care scope completely, and a small proportional (13,6%) of pregnant women with lack participation did not have completeness (K4) Antenatal care. Data analize was obtained p value = 0,004 (p<0,05) which means there was influence of maternal class participant to completeness (K4) Antenatal care . Correlation coefficients value’s 4,21 in the range of 0,40 – 0,599 which means the strength between variables is medium. While the correlation coefficient number in results are positively strong. Conclusion : there was influence of maternal class participant to completeness (K4) Antenatal care at working area Menur Public Health Centre in Sukolilo Municipality Surabaya City.

Download Full-text

Pengaruh Video Persalinan Normal terhadap Kecemasan Ibu Hamil Menghadapi Persalinan di Wilayah Kerja Puskesmas Pangaribuan Kecamatan Pangaribuan Kabupaten Tapanuli Utara

Jurnal Ilmiah Universitas Batanghari Jambi ◽

10.33087/jiubj.v21i3.1559 ◽

2021 ◽

Vol 21 (3) ◽

pp. 1357

Author(s):

Indah Dewi Sari ◽

Sulastri Pakpahan

Keyword(s):

Pregnant Women ◽

Health Centre ◽

Rank Test ◽

Bivariate Analysis ◽

P Value ◽

Public Health Centre ◽

Normal Delivery ◽

Care Workers ◽

Before And After ◽

Quasi Experimental

Primigravida mothers in facing delivery would experience anxiety. Anxiety in pregnant women increases in the third trimester which can lead to complications for both the mother and the fetus. 80% of primigravida mothers experience anxiety just before delivery. Efforts that can be made to reduce anxiety can be by watching videos of normal childbirth. The aim of the study was to determine whether there was an effect of video of normal delivery on anxiety of pregnant women in facing childbirth in the Pangaribuan Health Centre, Pangaribuan District, North Tapanuli Regency in 2020.This study used a Quasi-Experimental Research type with the design used was One Group Pretest-Postest Design. The sample of this study were 10 pregnant women who were measured before and after the intervention watching normal childbirth videos. Based on the results the data analysis used univariate and bivariate analysis. Bivariate analysis using the Wilcoxon Rank Test, obtained a p value (Sig.2-tailed) of .006 <α: 0 .05, it can be concluded that there is an effect of Normal Delivery Videos on Anxiety of Pregnant Women Facing Childbirth in the Pangaribuan Health Centre, Pangaribuan District, District North Tapanuli 2020. These results conclude that there is a significant effect between normal delivery videos on the anxiety of pregnant women facing childbirth in the Pangaribuan Public Health Centre, Pangaribuan District, North Tapanuli . Suggestions for health care workers to provide more information to primigravida mothers about labor preparation to reduce feelings anxiety of pregnant women facing childbirth.

Download Full-text

The Effect of Extract Supplements of Moringa Oleifera Leaves Plus Royal Jelly on Hemoglobin (Hb) Levels of Anemia Pregnant Mother in Takalar Regency

International Journal Papier Advance and Scientific Review ◽

10.47667/ijpasr.v1i2.31 ◽

2020 ◽

Vol 1 (2) ◽

pp. 22-29

Author(s):

Yulni Yulni ◽

Veni Hadju ◽

Burhanuddin Bahar ◽

Citrakesumasari Citrakesumasari ◽

Rahayu Indriasari ◽

...

Keyword(s):

Pregnant Women ◽

Leaf Extract ◽

Moringa Oleifera ◽

Royal Jelly ◽

P Value ◽

Double Blind ◽

Significant Difference ◽

Before And After ◽

The Difference ◽

Double Blind Design

The aim of this study was to determine the effect of Moringa oleifera leaf extract supplements, Moringa oleifera leaf extract plus royal jelly and placebo on hemoglobin levels in anemic pregnant women. This research is a randomized controlled double blind design study which was conducted in Polombangkeng Utara District, Takalar Regency for 2 months. The subjects of this study were pregnant women with anemia, the majority of which were 20-35 years old, primigravida parity, income less than UMR, unemployment, higher education, pregnancy distance of more than 2 years with p value> 0.05. Then divided into three groups, namely Moringa capsules plus royal jelly (KRJ) (n = 24), Moringa capsules (KTR) (n = 24) and placeco (PLC) (n = 21). Before and after the intervention, measurements of hemoglobin levels were carried out using the Hemocue tool and interviewing the characteristics of the respondents. The results showed that the average Hb level increased from each group (mean SD): KRJ 10.06 ± 0.75 to 11.42 ± 1.23, P = 0.001, KTR 10.40 ± 0.46 to 11.15 ± 0 , 90 P = 0.001 and PLC 10.43 ± 0.42 becomes 11.14 ± 0.88 P = 0.002. but there was no significant difference from the difference in the average increase in Hb levels in the three groups, but there was a tendency that KRJ was superior to the KTR and PLC groups with an increase of 1.36 gr / dl, KTR 0.75 gr / dl and PLC 0.71 gr / dl. So it can be concluded that KRJ is better than KTR and PLC in increasing Hb levels in anemic pregnant women in Takalar Regency.

Download Full-text

Perilaku caring perawat terhadap kepuasan pasien di UPT Puskesmas rawat inap

HOLISTIK JURNAL KESEHATAN ◽

10.33024/hjk.v14i3.1706 ◽

2020 ◽

Vol 14 (3) ◽

pp. 486-493

Author(s):

Triyoso Triyoso ◽

Martina Sari

Keyword(s):

Public Health ◽

Patient Satisfaction ◽

Health Center ◽

Health Centre ◽

P Value ◽

Public Health Centre ◽

Caring Behaviors ◽

Caring Behavior ◽

Nurse Caring ◽

The Impact

Nurse caring behaviors and patient satisfaction: The impact of patients experience at Bukit Kemuning inpatient public health centreBackground: The results of the pre-survey conducted on January - 2019 based on the medical records of the Bukit Kemuning Inpatient Health Center in North Lampung recorded in 2018 had of 279 inpatients. Base on evaluation in Bukit Kemuning Inpatient Health Center, the Minimum Service Standards (MSS) achievement scored of 67.29% describes the service quality is still suboptimal.Purpose: Knowing relationship between nurses' caring behavior towards patient satisfaction in Bukit Kemuning Inpatient Health Centre North Lampung RegencyMethod: A quantitative cross-sectional approach, the population of all outpatient who had experienced hospitalization at Bukit Kemuning Inpatient Health Center, with a sample of 282 respondent. The variables of this study were nurse caring behavior and patient satisfaction. The research conducted at the Bukit Kemuning Inpatient Health Center UPT North Lampung Regency. data collection using a questionnaire. Data analysis was univariate and bivariate (chi square).Results: Knowing the respondents' statement that nurses' shown caring behavior in a poor category of 162 (57.4%), patients unsatisfied of 140 (49.4%), There is a relationship between Nurse caring behaviors and patient satisfaction at Bukit Kemuning inpatient public health centre North Lampung Regency (p-value = 0.000 OR = 4.659)Conclusion: There is a correlation between Nurse caring behaviors and patient satisfaction: The impact of patients experience at Bukit Kemuning inpatient public health centre, for the Health Center management to consider for nurses' staff for conducting caring behavior training and improve health services.Keywords: Nurses; Caring behavior; Patient; SatisfactionPendahuluan: Standar kepuasan pasien di pelayanan kesehatan ditetapkan secara nasional oleh Departemen Kesehatan. Hasil pra survey yang dilakukan tanggal 5 – 9 Januari 2019 berdasarkan data rekam medis Puskesmas Rawat Inap Bukit Kemuning Kabupaten Lampung Utara tercatat tahun 2018 jumlah pasien yang melakukan kunjungan rawat jalan sebesar 11.169 orang dan rawat inap sebanyak 279 orang. Puskesmas Rawat Inap Bukit Kemuning Kabupaten Lampung Utara Standar SPM > 90 % dengan hasil capaian hanya 67, 29% sehingga dapat menggambarkan mutu pelayanan masih belum optimal.Tujuan : Diketahui hubungan perilaku caring perawat terhadap kepuasan pasien di UPT Puskesmas Rawat Inap Bukit Kemuning Kabupaten Lampung Utara tahun 2019Metode: Penelitian kuantitatif pendekatan Cross Sectional, populasi seluruh pengunjung Puskesmas, dengan sampel berjumlah 282 orang Objek dalam penelitian ini adalah perilaku caring perawat dan kepuasan pasien. Penelitian dilakukan di UPT Puskesmas Rawat Inap Bukit Kemuning Kabupaten Lampung Utara. bulan Januari – Juni 2019 . pengumpulan data menggunakan kuesioner. Analisis data secara univariat dan bivariat (chi square).Hasil: Diketahui pernyataan responden tentang perawat yang menunjukkan perilaku caring kategori buruk, sebesar 162 (57,4%) responden, kepuasan keluarga pasien kurang puas, sebesar 140 (49,4%) responden, Ada hubungan antara perilaku caring perawat terhadap tingkat kepuasan keluarga pasien di UPT Puskesmas Rawat Inap Bukit Kemuning Kabupaten Lampung Utara tahun 2019 (p-value=0,000,0,05, OR=4,659)Simpulan: Ada hubungan antara perilaku caring perawat terhadap tingkat kepuasan keluarga pasien di UPT Puskesmas Rawat Inap Bukit Kemuning Kabupaten Lampung Utara tahun 2019, bagi pihak manajemen Puskesmas sebagai bahan pertimbangan untuk mengadakan pelatihan perilaku caring perawat guna meningkatkan pelayanan pasien.

Download Full-text

Study of outcome of the treatment with intravenous iron sucrose in moderately anaemic pregnant women

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20193695 ◽

2019 ◽

Vol 8 (9) ◽

pp. 3480

Author(s):

Kohila Kalimuthu ◽

Vanusha Avudaithangam

Keyword(s):

Standard Deviation ◽

Iron Deficiency ◽

Pregnant Women ◽

Iron Deficiency Anaemia ◽

Intravenous Iron ◽

Iron Sucrose ◽

P Value ◽

Deficiency Anaemia ◽

The Mean ◽

The Difference

Background: Moderate anaemia seen in about 15-20% of pregnant women. Iron sucrose complex which is used intravenously for the correction of Iron deficiency anaemia. The drug has been able to raise the haemoglobin to satisfactory level when used in moderately anaemic iron deficient pregnant women. The objective of this study was to study the improvement of Hb% after treatment with intravenous Iron sucrose complex in moderately anaemic pregnant women belonging to 24-32 weeks of gestational age.Methods: 50 antenatal patients between gestational age 24-32 weeks with hemoglobin between 8-9.5g/dl were selected and included in this study. They were subjected to blood hemoglobin estimation, hematocrit and peripheral smear study. In each infusion, the maximum total dose administered was 200 mg iron sucrose in 100 ml of normal saline, slow IV infused over 30 minutes. Monitoring was done throughout the infusion to observe for any side effects.Results: Mean hemoglobin among the 50 patients before starting the therapy was 8.172g/dl and the mean hemoglobin at the end of one month of completing the therapy was 11.066g/dl. The rise in mean hemoglobin i.e. the difference in the mean hemoglobin before and after treatment was 2.894g/dl. The p value is 0.0001 which is statistically significant. The mean hematocrit of the 50 patients studied before starting the treatment was 26.772% with a standard deviation of 1.914. The mean hematocrit after completing the therapy was 33.872% with a standard deviation of 1.321. The difference in the mean hematocrit was 7.100% with a p value of 0.0001 which is statistically significant.Conclusions: Intravenous iron sucrose complex is well tolerated and highly efficacious in improving hemoglobin, hematocrit in the treatment of iron deficiency anaemia in antenatal women.

Download Full-text

The Effectiveness of Training on Improving the Ability of Health Cadres in Early Detection of Stunting in Toddlers

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2021.6067 ◽

2021 ◽

Vol 9 (E) ◽

pp. 373-377

Author(s):

Rina Tampake ◽

Ros Arianty ◽

Selvi A . Mangundap ◽

Baiq Emy ◽

Hanum Sasmita

Keyword(s):

Risk Factors ◽

Early Detection ◽

Health Centre ◽

P Value ◽

Test Results ◽

Public Health Centre ◽

Children Under Five ◽

Under Five ◽

Post Test ◽

Effectiveness Of Training

AIM: This study aimed to determine the effectiveness of training in improving health cadres’ ability in early detection and risk factors of stunting in toddlers. METHODS: The research method used was a quasi-experimental non-randomized pre- and post-test only control design. The independent variable was cadre training. The training was conducted through learning activities on health cadres using lecture method, question and answer method, and brainstorming accompanied by training booklets/modules and demonstrations. The dependent variable was knowledge, attitudes, and skills in detecting stunting and risk factors for stunting in children under-five. There were 53 health cadres as samples scattered in the Tomini Community Health Center with the purposive sampling technique. The data analysis technique used was a parametric statistical paired sample t-test. RESULTS: Training of health cadres effectively increased health cadres’ ability to detect stunting and risk factors for stunting in children under-five. The different test results for each variable that showed the pre-post-test p-value for knowledge, attitudes, and health cadres’ skills were 0.000, smaller than the significance level of 0.05 (p < 0.05). Besides, the mean score of each variable obtained after training for health cadres was more significant than before training, including knowledge 17.392 >12.264, attitudes 33.603 >27.226, and skills 90.019 >62113. Those are means that cadres’ training effectively increased the knowledge, attitudes, and skills of health cadres in detecting stunting and risk factors for stunting in children under-five. CONCLUSION: Training of health cadres effectively increases the knowledge, attitudes, and skills of health cadres about early detection and risk factors of stunting in the working area of Tomini Public Health Centre, Parigi Moutong Regency.

Download Full-text

Evaluation of HIV screening at antenatal care settings in Denpasar City

Public Health and Preventive Medicine Archive ◽

10.15562/phpma.v5i1.39 ◽

2017 ◽

Vol 5 (1) ◽

pp. 33

Author(s):

Putu Cintya Denny Yuliyatni ◽

Wayan Pujana ◽

Citra Indriani

Keyword(s):

Public Health ◽

Pregnant Women ◽

Hiv Testing ◽

Health Centre ◽

Secondary Data ◽

Performance Outcomes ◽

Hiv Screening ◽

Public Health Centre ◽

Key Informants ◽

Hiv Test

Background and purpose: National strategy to increase the coverage of prevention of mother to child transmission (PMTCT) program in Indonesia is integrating the service into public health centres (puskesmas). In Bali, the integration has been started since 2014. After one year of program implementation, an evaluation was conducted in order to provide input and feedback for program improvement.Methods: Secondary data analysis and indepth interview with 13 key informants in Denpasar City were conducted to assess input, process and output of the integration implementation. Results: Of the 11,719 pregnant women targeted within the program, 43% were offered to undergo HIV testing and 98% of these agreed to have HIV test with 17 were found HIV positive. Interviews with key informants found that there were adequate resources both in terms of manpower, funds and equipment. Obstacles found in the implementation include different site of ANC and HIV testing facility. The other barrier was high number of pregnant mother who conducted ANC at private obstetrician which not yet included in the program.Conclusions: Integration of PMTCT into ANC services at public health centre (PHC) is an effective way to improve the uptake of HIV screening among pregnant women. However, there is a need of effective of referral systems from private midwives and PHC satellite services. The expansion of networks into private midwives and obstetrician will be instrumental in improving performance outcomes.

Download Full-text

Barriers and opportunities for implementing prevention of mother to child transmission (PMTCT) in Bangli District

Public Health and Preventive Medicine Archive ◽

10.15562/phpma.v5i1.46 ◽

2017 ◽

Vol 5 (1) ◽

pp. 67

Author(s):

Ketut Espana Giri ◽

Ni Made Sri Nopiyani ◽

Ketut Tuti Parwati Merati

Keyword(s):

Pregnant Women ◽

Hiv Testing ◽

Health Centre ◽

Community Leaders ◽

Pmtct Program ◽

Mother To Child Transmission ◽

Child Transmission ◽

Public Health Centre ◽

Mother To Child ◽

Village Health

Background and purpose: HIV testing among pregnant women can reduce the risk of mother to child HIV transmission. The implementation of prevention of mother to child transmission (PMTCT) program in Bangli District is suboptimal. This study aims to explore challenges and opportunities for implementing PMTCT program from both user and provider perspectives.Methods: A qualitative approach was conducted in Bangli District between April and May 2016. Data were collected using in-depth interviews with 18 informants. All informants were purposively selected and covered of 10 pregnant women, two counsellors, two laboratory analysts, two head of community health centres, one disease control officer from Bangli District Health Office and one officer from Bangli District AIDS Commission. Data were analysed using thematic method.Results: Pregnant women chose to have ANC service at private midwife and obstetrician instead of public health centre. From health providers’ perspectives barrier of PMTCT implementation included lack of health human resources and a high level of stigma and discrimination related to HIV/AIDS in the community. This study revealed that there was an opportunity for PMTCT implementation in Bangli District due to positive attitudes and supports from husband and health provider toward HIV testing. Another opportunity is to involve village health cadres and community leaders in promoting HIV testing among pregnant women.Conclusions: Implementation of PMTCT program in health centre should include network of private practitioner and enhance village health cadres’ and community leaders’ participation.

Download Full-text

Knowledge, Attitude, and Practices of dentists in offering dental treatment to pregnant women in Jordan: A Cross-Sectional survey

10.21203/rs.3.rs-38323/v1 ◽

2020 ◽

Author(s):

Bara' Abdallah AlShurman ◽

Yousef Saleh Khader ◽

Anwar Batieha ◽

Ola B. Al-Batayneh ◽

Abd-Albaset Odat ◽

...

Keyword(s):

Pregnant Women ◽

Online Survey ◽

Dental Treatment ◽

Periodontal Diseases ◽

Further Education ◽

P Value ◽

X Rays ◽

Cross Sectional Survey ◽

International Guidelines ◽

Attitudes And Practices

Abstract BackgroundAlthough international guidelines emphasized that pregnant patients should receive proper dental treatment, many dentists are still hesitant to do so. This study aimed to determine the knowledge, attitude, and practices of dentists towards offering dental treatment to pregnant women in Jordan.MethodsAn online survey was distributed to 1000 dentists using social-media applications between August and October, 2019. The survey consisted of three sections; dentists’ knowledge about the association between oral diseases and pregnancy, their participation in training courses, and their practices regarding various dental treatments during pregnancy. Descriptive statistics were obtained and Chi-square tests were used to measure the association between demographic variables and knowledge, attitude, and practices variables. Significance was considered at P-value < 0.05.ResultsA total of 547 (54.7%) responded to the questionnaire. Only (37.5%) agreed that periodontal diseases might increase risk of adverse pregnancy outcomes. Almost (75.9%) did not attend any training program. The 2nd trimester was the most preferable time to do all dental procedures. There was a tendency to perform scaling and fillings especially in the 2nd trimester (82.4%), (86.1%) respectively. The majority of dentists would feel comfortable to do RCT (72.0%) or extraction (60.0%) in the 2nd trimester, whereas greater caution was apparent on 1st and 3rd trimester. A proportion of (32.5%) thought that taking x-rays during pregnancy was contraindicated. About (53.7%) didn’t know about the safety to administer nitrous oxide sedation during pregnancy. Around (75.9%) refused to prescribe non-steroidal anti-inflammatory drugs to pregnant women. By far, paracetamol was the drug of choice (96.9%) to prescribe as an analgesic and amoxicillin as an antibiotic (89.2%).ConclusionLack of knowledge, poor attitude and incorrect practices were observed among surveyed dentists with regards to management of pregnant women. Thus, further education courses about international guidelines are needed to correct the common misconceptions and negative attitudes and practices of dentists in treating pregnant women.

Download Full-text