Hubungan Karakteristik dan Pengetahuan Ibu Hamil dengan Perilaku Hygiene Tentang Keputihan (Flour Albus) di Puskesmas Kalumpang Kota Ternate  Tahun 2013

Abstract : Knowledge relations of pregnant women with the hygiene behavior about flour albus in Puskesmas Kalumpang Ternate Oktober 2013 Whiteness or Flour Albus is an abnormal vaginal secretion in women. Many women are not aware that they regard whitish vaginal discharge as common and trivial. Survey of health workers at the Puskesmas Kalumpang Ternate Incidence of Flour Albus / Whitish in pregnant women and pregnant women about the knowledge of flour albus / whiteness, from 100% of pregnant women around 55% of women do not know flour albus / discharge is physiological and pathological. The purpose of this study is to reveal Knowledge relations of pregnant women with the hygiene behavior about flour albus in Puskesmas Kalumpang Ternate Oktober 2013. The study design was descriptive correlational, design is cross sectional survey, with 30 samples of working mothers. The statistical analysis use in this study was bivariate.The results Relations knowledge of pregnant women with the hygiene behavior about flour albus in Puskesmas Kalumpang Ternate Oktober 2013, Based on the results showed a significant association (p = 0.036 ). Based on the Knowledge relations of pregnant women with the hygiene behavior about flour albus in Puskesmas Kalumpang Ternate Oktober 2013, can be considered in an effort to increase knowledge and awareness of the importance of maintaining the cleanliness of the area of sex organs.

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Faktor-Faktor Yang Mempengaruhi Kunjungan Antenatal Care Terhadap Perilaku Antenatal Care

CoMPHI Journal: Community Medicine and Public Health of Indonesia Journal ◽

10.37148/comphijournal.v1i2.14 ◽

2020 ◽

Vol 1 (2) ◽

pp. 67-76

Author(s):

Puji Astuti Wiratmo ◽

Lisnadiyanti ◽

Nurkamilia Sopianah

Keyword(s):

Risk Factors ◽

Health Care ◽

Antenatal Care ◽

Pregnant Women ◽

Family Support ◽

Health Workers ◽

P Value ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Correlation Design

Introduction: Antenatal Care (ANC) is an effort to detect the occurrence of high risk in pregnant women. However, ANC non-compliance was still found due to several factors. Aim of study: This study aims to determine factors that influence ANC visits to ANC behavior at Puskesmas Pasar Rebo East Jakarta. Method: This study used a descriptive correlation design with a cross-sectional survey. Data analysis used Spearman's rho with 117 respondents. Results and Discussion: The results showed that there are some factors that influence ANC visits to ANC behavior, including age with a correlation value (r = 0.419), a p-value of 0.000; education with a correlation value (r = 0.425), p-value of 0.000; jobs with a correlation value (r = 0.279), p-value of 0.002; income with a correlation value (r = 0.407), p-value of 0.000; knowledge with a correlation value (r = 0.409), p-value of 0.000; husband / family support with a correlation value (r = 0.417), p-value of 0.000; attitude with a correlation value (r = 0.597), p-value of 0.000 (<0.05). Irregularity in carrying out ANC has a bad impact on pregnant women because they are not aware of the risk factors that may occur to the mother and her fetus and can not be detected early on the disease suffered by pregnant women. Conclusion: The conclusion of this study is nurses as health workers need to increase their role as educators and health care provider to pregnant women and their families about the importance of ANC to reduce maternal mortality and monitor the state of the fetus.

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PENGETAHUAN IBU HAMIL TENTANG POSISI HUBUNGAN SEKSUAL PADA MASA KEHAMILAN

Jurnal Genta Kebidanan ◽

10.36049/jgk.v8i1.155 ◽

2018 ◽

Vol 8 (1) ◽

pp. 46

Author(s):

Ni Wayan Noviani ◽

Ni Komang Sari Suindani

Keyword(s):

Pregnant Women ◽

Sampling Technique ◽

Sexual Relationship ◽

Inclusion Criteria ◽

Sexual Relations ◽

Cross Sectional ◽

Descriptive Research ◽

Abstract Knowledge ◽

Medium Education ◽

Research Type

Abstract: Knowledge of Pregnant Women About Sexual Relations Position During Pregnancy. The purpose of this study was to determine the knowledge of pregnant women about the position of sexual relations during pregnancy in BPM Wahidah, S.ST Year 2017. This research type is descriptive research with cross sectional approach by using accidental sampling technique. The population of this study were pregnant women who did the examination in BPM Wahidah, S.ST. The number of samples is 50 respondents who meet the inclusion criteria. This research started from 6-21 february 2017. The result showed that pregnant woman's knowledge about the position of sexual relationship during pregnancy was mostly (54%) knowledgeable enough. A small percentage of respondents aged 20-35 years ie 11 people (22%) have enough knowledge, from the work showed that almost half of respondents ie 23 people (46%) who do not work have enough knowledge, from education showed that almost half of respondents or 16 people (32%) who have medium education have enough knowledge, and from parity shows that almost half of respondents are 14 people (28%) who are multiparous have enough knowledge. Abstrak : Pengetahuan Ibu Hamil Tentang Posisi Hubungan Seksual Pada Masa Kehamilan. Tujuan penelitian ini adalah untuk mengetahui pengetahuan ibu hamil tentang posisi hubungan seksual pada masa kehamilan di BPM Wahidah, S.ST Tahun 2017. Jenis penelitian ini adalah penelitian deskriptif dengan pendekatan cross sectional dengan menggunakan teknik accidental sampling. Populasi penelitian ini adalah ibu hamil yang melakukan pemeriksaan di BPM Wahidah, S.ST.Jumlah sampel sebanyak 50 responden yang memenuhi criteria inklusi.Penelitian ini dimulai dari tanggal 6-21 februari 2017. Hasil penelitian menunjukkan bahwa pengetahuan ibu hamil tentang posisi hubungan seksual pada masa kehamilan sebagian besar (54%) berpengetahuan cukup. sebagian kecil responden umur 20-35 tahun yaitu 11 orang (22%) memiliki pengetahuan cukup, dari pekerjaan menunjukkan bahwa hampir setengahnya responden yaitu 23 orang (46%) yang tidak bekerja memiliki pengetahuan cukup, dari pendidikan menunjukkan bahwa hampir setengahnya responden atau 16 orang (32%) yang berpendidikan menengah mempunyai pengetahuan cukup, dan dari paritas menunjukkan bahwa hampir setengahnya responden yaitu 14 orang (28%) yang multipara memiliki pengetahuan cukup.

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GAMBARAN TINGKAT PENGETAHUAN PERSONAL HYGIENE TENTANG MENSTRUASI PADA SISWI SMP

Jurnal Penelitian Keperawatan Medik ◽

10.36656/jpkm.v1i2.78 ◽

2019 ◽

Vol 1 (2) ◽

pp. 8-15

Author(s):

Zaim Ashari

Keyword(s):

Blood Vessels ◽

Vaginal Discharge ◽

Reproductive Tract ◽

Sampling Technique ◽

Total Sample ◽

Descriptive Study ◽

Reproductive Organs ◽

Personal Hygiene ◽

Cross Sectional ◽

Hygiene Behavior

During menstruation blood vessels in the uterus are very easily infected because germs easily enter and cause diseases of the reproductive tract. Some of the most common disorders are vaginal discharge and pruritus vulvae (vaginal itching). However, this complaint can be prevented by maintaining the cleanliness of the female organs early on, namely with good menstrual personal hygiene. This study aims to describe the level of personal hygiene knowledge about menstruation. This research is a descriptive study with a cross-sectional approach, with a total sample of 90 people taken by total sampling technique. The results showed that the majority of respondents had enough personal hygiene behavior as many as 82 people (91.1%), while good menstrual personal hygiene behavior was 3 people (3.3%), and respondents who had behaviors classified as less than 5 people ( 5.6%). Based on complaints on reproductive organs, respondents who experienced vaginal discharge were 85 people (94.4%) and itching around the genitals was around 83 people (92.2%).

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Public Health Workforce Burnout in the COVID-19 Response in the U.S.

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18084369 ◽

2021 ◽

Vol 18 (8) ◽

pp. 4369

Author(s):

Kahler W. Stone ◽

Kristina W. Kintziger ◽

Meredith A. Jagger ◽

Jennifer A. Horney

Keyword(s):

Public Health ◽

Health Workforce ◽

Work Experience ◽

Large Scale ◽

Health Workers ◽

Public Health Workforce ◽

Cross Sectional Survey ◽

Public Health Response ◽

Cross Sectional ◽

The U.S

While the health impacts of the COVID-19 pandemic on frontline health care workers have been well described, the effects of the COVID-19 response on the U.S. public health workforce, which has been impacted by the prolonged public health response to the pandemic, has not been adequately characterized. A cross-sectional survey of public health professionals was conducted to assess mental and physical health, risk and protective factors for burnout, and short- and long-term career decisions during the pandemic response. The survey was completed online using the Qualtrics survey platform. Descriptive statistics and prevalence ratios (95% confidence intervals) were calculated. Among responses received from 23 August and 11 September 2020, 66.2% of public health workers reported burnout. Those with more work experience (1–4 vs. <1 years: prevalence ratio (PR) = 1.90, 95% confidence interval (CI) = 1.08−3.36; 5–9 vs. <1 years: PR = 1.89, CI = 1.07−3.34) or working in academic settings (vs. practice: PR = 1.31, CI = 1.08–1.58) were most likely to report burnout. As of September 2020, 23.6% fewer respondents planned to remain in the U.S. public health workforce for three or more years compared to their retrospectively reported January 2020 plans. A large-scale public health emergency response places unsustainable burdens on an already underfunded and understaffed public health workforce. Pandemic-related burnout threatens the U.S. public health workforce’s future when many challenges related to the ongoing COVID-19 response remain unaddressed.

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The PROMISES study: a mixed methods approach to explore the acceptability of salivary progesterone testing for preterm birth risk among pregnant women and trained frontline healthcare workers in rural India

BMJ Open ◽

10.1136/bmjopen-2020-040268 ◽

2021 ◽

Vol 11 (1) ◽

pp. e040268

Author(s):

Danielle Ashworth ◽

Pankhuri Sharma ◽

Sergio A Silverio ◽

Simi Khan ◽

Nishtha Kathuria ◽

...

Keyword(s):

Mixed Methods ◽

Preterm Birth ◽

Pregnant Women ◽

Barriers And Facilitators ◽

Rural India ◽

Structured Interviews ◽

Framework Analysis ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Thematic Framework

IntroductionIndia has an overall neonatal mortality rate of 28/1000 live births, with higher rates in rural India. Approximately 3.5 million pregnancies in India are affected by preterm birth (PTB) annually and contribute to approximately a quarter of PTBs globally. Embedded within the PROMISES study (which aims to validate a low-cost salivary progesterone test for early detection of PTB risk), we present a mixed methods explanatory sequential feasibility substudy of the salivary progesterone test.MethodsA pretraining and post-training questionnaire to assess Accredited Social Health Activists (ASHAs) (n=201) knowledge and experience of PTB and salivary progesterone sampling was analysed using the McNemar test. Descriptive statistics for a cross-sectional survey of pregnant women (n=400) are presented in which the acceptability of this test for pregnant women is assessed. Structured interviews were undertaken with ASHAs (n=10) and pregnant women (n=9), and were analysed using thematic framework analysis to explore the barriers and facilitators influencing the use of this test in rural India.ResultsBefore training, ASHAs’ knowledge of PTB (including risk factors, causes, postnatal support and testing) was very limited. After the training programme, there was a significant improvement in the ASHAs’ knowledge of PTB. All 400 women reported the salivary test was acceptable with the majority finding it easy but not quick or better than drawing blood. For the qualitative aspects of the study, analysis of interview data with ASHAs and women, our thematic framework comprised of three main areas: implementation of intervention; networks of influence and access to healthcare. Qualitative data were stratified and presented as barriers and facilitators.ConclusionThis study suggests support for ongoing investigations validating PTB testing using salivary progesterone in rural settings.

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Cervical Cancer: Assessment of Its Knowledge, Utilization of Services and Its Determinant Among Female Undergraduate Students in a Low Resource Setting

International Quarterly of Community Health Education ◽

10.1177/0272684x211006608 ◽

2021 ◽

pp. 0272684X2110066

Author(s):

Chidebe Christian Anikwe ◽

Philip Chidubem Osuagwu ◽

Cyril Chijioke Ikeoha ◽

Okechukwu B Ikechukwu Dimejesi ◽

Bartholomew Chukwunonye Okorochukwu

Keyword(s):

Cervical Cancer ◽

Cancer Screening ◽

Cervical Cancer Screening ◽

Pap Smear ◽

Health Workers ◽

P Value ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Resource Setting ◽

Study Population

Background Cervical cancer is a preventable disease that contributes significantly to the death of women. This study is aimed at determining the level of knowledge and utilization of cervical cancer screening and its determinants among female undergraduates of Ebonyi State University. Methods A structured questionnaire was used for a cross-sectional survey of the study population between January 1 and March 3, 2018. The data were analyzed using IBM SPSS Statistics version 20. Data were represented with frequency table, simple percentage, mode, range, Chi square and pie chart. The level of significance is at P-value < 0.05. Results Majority (74.8%) of the respondents were aware of cervical cancer and it could be prevented (70.8%). More than three-fifths (68.30%) were informed via health workers, and 86.8% were aware that post-coital vaginal bleeding is a symptom. Less than half (49.8%) knew that HPV is the primary cause, and only 32.9% were aware of the HPV vaccine. One-quarter of the respondent were aware that early coitarche is a risk factor for cervical cancer. Only 41.8% of the women were aware of Pap smear, 9.2% had undergone screening, and 97.6% were willing to be screened. Marital status was the significant determinant of being screened while class level did not significantly influence uptake of cervical cancer screening. The most common reason (20.6%) for not being screened was lack of awareness of the test. Conclusion Our study population had a good knowledge of cervical cancer, but utilization of cervical cancer screening was poor. Awareness creation through the mass media and provision of affordable screening services can promote the use of cervical cancer screening in the study area.

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Translation and validation of Training Needs Analysis Questionnaire among reproductive, maternal and newborn health workers in Tanzania

BMC Health Services Research ◽

10.1186/s12913-021-06686-9 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Tumbwene Mwansisya ◽

Columba Mbekenga ◽

Kahabi Isangula ◽

Loveluck Mwasha ◽

Eunice Pallangyo ◽

...

Keyword(s):

Healthcare Workers ◽

Professional Training ◽

Health Workers ◽

Newborn Health ◽

Training Needs ◽

Assessment Tools ◽

Needs Analysis ◽

Maternal And Newborn Health ◽

Cross Sectional Survey ◽

Cross Sectional

Abstract Background Continuous professional development (CPD) has been reported to enhance healthcare workers’ knowledge and skills, improve retention and recruitment, improve the quality of patient care, and reduce patient mortality. Therefore, validated training needs assessment tools are important to facilitate the design of effective CPD programs. Methods A cross-sectional survey was conducted using self-administered questionnaires. Participants were healthcare workers in reproductive, maternal, and neonatal health (RMNH) from seven hospitals, 12 health centers, and 17 dispensaries in eight districts of Mwanza Region, Tanzania. The training needs analysis (TNA) tool that was used for data collection was adapted and translated into Kiswahili from English version of the Hennessy-Hicks’ Training Need Analysis Questionnaire (TNAQ). Results In total, 153 healthcare workers participated in this study. Most participants were female 83 % (n = 127), and 76 % (n = 115) were nurses. The average age was 39 years, and the mean duration working in RMNH was 7.9 years. The reliability of the adapted TNAQ was 0.954. Assessment of construct validity indicated that the comparative fit index was equal to 1. Conclusions The adapted TNAQ appears to be reliable and valid for identifying professional training needs among healthcare workers in RMNH settings in Mwanza Region, Tanzania. Further studies with larger sample sizes are needed to test the use of the TNAQ in broader healthcare systems and settings.

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31. Influenza Vaccination During Pregnancy: A Descriptive Cross-sectional Survey of the Knowledge, Beliefs, and Attitudes of Mexican Gynecologists and Family Physicians

Open Forum Infectious Diseases ◽

10.1093/ofid/ofaa439.076 ◽

2020 ◽

Vol 7 (Supplement_1) ◽

pp. S39-S39

Author(s):

Erika Z Lopatynsky-Reyes ◽

Sue Ann Costa-Clemens ◽

Enrique Chacon-Cruz ◽

Michael Greenberg

Keyword(s):

Influenza Vaccination ◽

Pregnant Women ◽

Latin American ◽

Vaccine Coverage ◽

Family Physicians ◽

Morbidity And Mortality ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Beliefs And Attitudes ◽

In Pregnancy

Abstract Background Influenza in pregnancy is associated with elevated morbidity and mortality. Influenza vaccines are both safe and effective in pregnancy, supporting routine use in this population. Even though influenza vaccination in Mexico is recommended for pregnant women, there are no publications of influenza vaccine coverage in pregnancy. This is the first Latin American survey done only in physicians aiming to assess the knowledge, beliefs, and attitudes that Mexican Obstetrics-Gynecologists (OBG) and Family Physicians (FP) have towards influenza and influenza immunization during pregnancy. Methods A cross-sectional survey was conducted, both paper-based and online. The questionnaire was composed of 35 questions, which addressed general knowledge of influenza, recommendations for vaccination during pregnancy, and beliefs and attitudes concerning the acceptability of the vaccine in pregnant women. Results A total of 206 completed surveys were available, 98 (47.6%) from OBG, 108 (52.4%) from FP. Regarding current practicing medical institutions, 76 (37%), 69 (34%), 31 (14.5%), 30 (14.5%) reported working for the Mexican Institute of Social Security, Private Sector, Secretariat of Health, or a combination of all respectively, representing an estimated 2,472 daily pregnancy consultations. About a quarter (26.2%) reported not having a notion that influenza is more severe among pregnant women. More than half (51.5%) ignored the potential side effects of influenza infection on the fetus. The majority (56.8%) did not know when vaccination during pregnancy should occur. Pregnancy as a risk factor for developing influenza complications was known only in 48.1%. Also, 46.1 % believed that vaccination only confers protection to the mother, but not to the fetus. Nevertheless, 96.1% considered that immunization against influenza during pregnancy is a safe and effective preventive intervention. A results’ summary is shown in Figure-1. Conclusion Based on this survey, current knowledge of OBG and FP for influenza morbidity and mortality during pregnancy, and the importance of influenza vaccination in pregnant women, is poor. Mandatory recommendations to educate medical providers regarding influenza vaccination during pregnancy in Mexico are necessary, even as imperative for CME credits. Disclosures All Authors: No reported disclosures

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Maternal adherence to micronutrient supplementation before and during pregnancy in Northwest China: a large-scale population-based cross-sectional survey

BMJ Open ◽

10.1136/bmjopen-2018-028843 ◽

2019 ◽

Vol 9 (8) ◽

pp. e028843 ◽

Cited By ~ 6

Author(s):

Danmeng Liu ◽

Yue Cheng ◽

Shaonong Dang ◽

Duolao Wang ◽

Yaling Zhao ◽

...

Keyword(s):

Pregnant Women ◽

Large Scale ◽

Northwest China ◽

Population Based ◽

Shaanxi Province ◽

Micronutrient Supplementation ◽

Cross Sectional Survey ◽

Start Time ◽

Cross Sectional ◽

Scale Population

ObjectivesTo report the situation of maternal micronutrient supplementation before and during pregnancy in Northwest China and to examine the rates of and factors related to the adherence to micronutrient supplementation among pregnant women in this region, where dietary micronutrient intake is commonly insufficient.DesignA large-scale population-based cross-sectional survey.SettingTwenty counties and ten districts of Shaanxi Province.ParticipantsA sample of 30 027 women were selected using a stratified multistage random sampling method. A total of 28 678 women were chosen for the final analysis after excluding those who did not provide clear information about nutritional supplementation before and during pregnancy.Main outcome measuresMaternal adherence to micronutrient supplementation (high and low) were the outcomes. They were determined by the start time and duration of use according to Chinese guidelines (for folic acid (FA) supplements) and WHO recommendations (for iron, calcium and multiple-micronutrient (MMN) supplements).ResultsIn total, 83.9% of women took at least one kind of micronutrient supplement before or during pregnancy. FA (67.6%) and calcium (57.5%) were the primarily used micronutrient supplements; few participants used MMN (14.0%) or iron (5.4%). Adherence to supplementation of all micronutrients was low (7.4% for FA, 0.6% for iron, 11.7% for calcium and 2.7% for MMN). Higher educational levels, higher income levels, urban residence and better antenatal care (including pregnancy consultation and a higher frequency of antenatal visits) were associated with high adherence to micronutrient supplementation.ConclusionMaternal micronutrient supplementation before and during pregnancy in Northwest China was way below standards recommended by the Chinese guidelines or WHO. Targeted health education and future nutritional guidelines are suggested to improve this situation, especially in pregnant women with disadvantaged sociodemographic conditions.

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Utilization of key preventive measures for pregnancy complications and malaria among women in Jimma Zone, Ethiopia

BMC Public Health ◽

10.1186/s12889-019-7727-8 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 2

Author(s):

Mariame Ouedraogo ◽

Jaameeta Kurji ◽

Lakew Abebe ◽

Ronald Labonté ◽

Sudhakar Morankar ◽

...

Keyword(s):

Health Services ◽

Pregnant Women ◽

Malaria Infection ◽

Preventive Measures ◽

Health Sector ◽

Maternal Health Services ◽

Cross Sectional Survey ◽

Wealth Status ◽

Cross Sectional ◽

Jimma Zone

Abstract Background In Ethiopia, malaria infections and other complications during pregnancy contribute to the high burden of maternal morbidity and mortality. Preventive measures are available, however little is known about the factors influencing the uptake of maternal health services and interventions by pregnant women in Ethiopia. Methods We analyzed data from a community-based cross-sectional survey conducted in 2016 in three rural districts of Jimma Zone, Ethiopia, with 3784 women who had a pregnancy outcome in the year preceding the survey. We used multivariable logistic regression models accounting for clustering to identify the determinants of antenatal care (ANC) attendance and insecticide-treated net (ITN) ownership and use, and the prevalence and predictors of malaria infection among pregnant women. Results Eighty-four percent of interviewed women reported receiving at least one ANC visit during their last pregnancy, while 47% reported attending four or more ANC visits. Common reasons for not attending ANC included women’s lack of awareness of its importance (48%), distance to health facility (23%) and unavailability of transportation (14%). Important determinants of ANC attendance included higher education level and wealth status, woman’s ability to make healthcare decisions, and pregnancy intendedness. An estimated 48% of women reported owning an ITN during their last pregnancy. Of these, 55% reported to have always slept under it during their last pregnancy. Analysis revealed that the odds of owning and using ITNs were respectively 2.07 (95% CI: 1.62–2.63) and 1.73 (95% CI: 1.32–2.27) times higher among women who attended at least one ANC visit. The self-reported prevalence of malaria infection during pregnancy was low (1.4%) across the three districts. We found that young, uneducated, and unemployed women presented higher odds of malaria infection during their last pregnancy. Conclusion ANC and ITN uptake during pregnancy in Jimma Zone fall below the respective targets of 95 and 90% set in the Ethiopian Health Sector Transformation Plan for 2020, suggesting that more intensive programmatic efforts still need to be directed towards improving access to these health services. Reaching ANC non-users and ITN ownership and use as part of ANC services could be emphasized to address these gaps.

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