scholarly journals Midwifery continuity of care: Potentiality of midwives adherence to the new model of care

Author(s):  
Yahaya Jafaru

Background: The midwifery continuity of care is gaining more attention, and the WHO recommends the use of its models to provide antenatal, intrapartum and postnatal care in a setting where effective midwifery programme exists. However, in many countries, implementation of continuity of care model has been challenging for midwives.Purpose: The purpose of the study was to assess the potentiality of midwives adherence to midwifery continuity of care as a new model of care.Method: The research is descriptive that adopted cross-sectional design. The population of the study was the midwives serving in antenatal clinic (ANC), maternity and labour units. The instrument for data collection was researcher made, self-administered questionnaire. Census sampling was used in taking the entire midwives of the units as the subjects of the study. The results of the study were presented in frequencies and percentages, with Chi-square as a statistical tool for inferential analysis.Results: Generally, 46.3% of the respondents were having good potentiality, 44.8% were having poor potentiality, and only 9.0% were having very good potentiality. 56.7% of the respondents with 0-5 years of experience were having poor potentiality, in contrast with 27.3% in respondents with >15 years of experience. 34.6% and 53.7% of the respondents that were midwives and those that were nurse-midwives in specialty respectively were having good potentiality to MCC adherence. There is no significant association between respondents’ years of experience and their potentiality to MCC adherence, P > 0.05. There is no significant association between respondents’ specialty and their potentiality to MCC adherence, P > 0.05.Conclusion: The respondents of this study had a moderate potentiality to MCC adherence. The possibility of midwives adherence to MCC can be improved if it is introduced into the system with some modifications and flexibilities; and when the midwives realise its positive impact on maternal and new-born health.

JKEP ◽  
2021 ◽  
Vol 6 (1) ◽  
pp. 9-25
Author(s):  
Sinta Kholifah Mar'ah Konitatillah ◽  
Latifa Aini Susumaningrum ◽  
Hanny Rasni ◽  
Tantut Susanto ◽  
Roro Dewi

Hypertensive elderly influences body balance that affects their ability to mobilize. Therefore, this condition can improve a risk for falling. The aimed of this study was to analyzed the relationship between mobilization ability and risk for fall among elderly with hypertension in Tresna Werdha Social Services (PSTW) Bondowoso. A cross sectional design was conducted among 47 elderly using total sampling. A self-administered questionnaire was used to measure sociodemographic of elderly, while Elderly Mobility Scale (EMS) was performed to measure mobilization ability and Morse Falls Scale was performed to measure risk for fall. The relationship mobilization ability and risk for fall was analysed using Chi Square test. The result showed that among 47 elderly were 49,8% of independent and 46,8% of low risk for falling. There were significantly relationship between mobilization ability and risk for fall (X2 = 14,674; p = 0.001). The conclusion of this study, there is a relationship between mobilization ability and risk of fall among elderly. Therefore, elderly should be active in physical activities  to reduce the risk of falling.


Author(s):  
Sandrine Roussel ◽  
Alain Deccache ◽  
Mariane Frenay

Introduction: The implementation of Therapeutic Patient Education (TPE) remains a challenge. An exploratory study highlighted two tendencies among practitioners of TPE, which could hamper this implementation: an oscillation between identities (as caregivers versus as educators) and an inclination towards subjective psychological health objectives. Objectives: To verify whether these tendencies can be observed among an informed audience in TPE. Next, to explore the variables associated with one or other of these tendencies. Method: A quantitative cross-sectional survey by a self-administered questionnaire was carried out among 90 French-speaking healthcare professionals. Statistical analyses (chi-square, logistic regression) were then conducted. Results: Sixty percent of respondents displayed identity oscillation, which was found to be linked to task oscillation, patient curability, scepticism towards medicine and practising in France. Fifty-six percent pursued subjective psychological health objectives, which was found to be associated with health behaviour objectives and a locus of power in the healthcare relationship distinct from those seen in the pre-existing health models (biomedical, global). This tendency seems to constitute an alternative model of TPE. Discussion & conclusion: Identity oscillation and subjective psychological health objectives can be both observed. This study stresses the need to deliberate on the form(s) of TPE that is/are desired.


Antibiotics ◽  
2021 ◽  
Vol 10 (7) ◽  
pp. 866
Author(s):  
Iltaf Hussain ◽  
Nisa Yousaf ◽  
Sana Haider ◽  
Pervisha Jalil ◽  
Muhammad Usman Saleem ◽  
...  

The irrational use of antimicrobials has enormously contributed to antimicrobial resistance (AMR) globally and especially in the developing world. To assess the knowledge and perception regarding AMR and antimicrobial stewardship (AMS), a descriptive cross-sectional study was carried out in university students enrolled in pharmacy, veterinary, and biology programs by using an online self-administered questionnaire. The Chi-square and Fisher exact tests (where applicable) were performed to assess the association of the demographics with the students’ knowledge and perception regarding AMR and AMS. A total of 496 students completed the questionnaire, among which, 85.7% of the participants were familiar with the term AMR and 79.4% of the participants correctly identified a poorly designed dosing regimen as a contributing factor towards AMR. The majority of participants (57.9%) were familiar with the term AMS and 86.5% were aware of the aim of AMS. The participants showed good knowledge regarding AMR and AMS, but to further improve student knowledge and perception of AMS and AMR, it is suggested that dedicated modules on antibiotic use and AMS should be incorporated into the curricula of these undergraduate and postgraduate programs.


2021 ◽  
Vol 2 (2) ◽  
pp. 58-68
Author(s):  
Dherma Wati Bangun ◽  
Dherma Wati Bangun ◽  
Vivi Eulis Diana

Patients in health services have different behaviors in deciding to take advantage of health services. Patients used various considerations to make decisions based on the health products or services for re-treatment. The study aimed to analyze the factors that influence the patient's decision in using health services for re-treatment. This research was quantitative with cross-sectional design and conducted at Tanjung Pura Regional Hospital. The population was 3.946 people, and the sample were 247 respondents taken by using purposive sampling. Data analysis was univariate and bivariate using chi-square and multivariate using multiple logistic regression at the 95% confidence level (a= .05). The results showed that the factors that influenced the patient's decision to use health services for re-treatment at the Tanjung Pura Regional Hospital were the service quality of doctors / nurses (p= .000), distance (p=.049), facilities (p=0.000), and service speed (p = .000). The factors that did not influence we age (p=.461). gender (p=.895), education (p=.371), occupation (p=.593). The most dominant factor influencing is facilities with Exp (B)/OR =14.477, meaning that respondents who stated that the hospital facilities were good, had the opportunity to use health services for re-treatment by 14.4 times higher the respondents who stated that the hospital facilities were not good. It is suggested to Tanjung Pura Regional Hospital to propose and allocate a budget for improving hospital facilities that are still lacking and adding new service facilities so that it can increase public confidence for repeat treatment


2020 ◽  
Vol 2 (2) ◽  
pp. 42-49
Author(s):  
Kasimirus Ebu To ◽  
Noorce C. Berek ◽  
Agus Setyobudi

Musculoskeletal disorder (MSDs) is a disorder in workers. This work-related disease has a high prevalence globally. MSDs occurs in work environment that exposes workers to non-ergonomic posture. The disorder triggers fatigue and indirectly adds to the workload among workers. This study aims to analyze the relationship between work tenure, sex and work attitudes with musculoskeletal complaints in general refueling station operators in Kupang City. The research was an analytical survey with a cross-sectional design. The research were conducted at 15 General Refueling Stations in Kupang from October to November 2019. A sample of 69 people were selected from the population of 222 operators. Data were analyzed by using chi-square (X2) with p-value = 0,05. The results showed that there was a relationship between musculoskeletal complaints and length of work (ρ-value= 0,004), gender (ρ-value 0,007) and work attitude (ρ-value= 0,001).


2020 ◽  
Vol 4 (3) ◽  
pp. 100-111
Author(s):  
Vita Camelia ◽  

Stunting is a children growth problem that occurs a result of chronic malnutrition in the first 1000 days of life. The indicator of stunting is using the height measurement according to age HFA (Height for Age) under -2 SD based on the WHO growth standard curve according to sex. The impacts of stunting are the occurrence of growth disorders, barriers to development and the risk of metabolic disorders in adulthood. One of the risk factors for stunting is history of quality and quantity Antenatal Care (ANC). This study aimed to determine the relationship between quality and quantity history of ANC visits and stunting in toddlers aged 24-59 years in Pujon District Malang Regency. The method used in this research was observational analytic by using cross-sectional design. The population of this study was all mothers who have children aged 24-59 months that were conducted in January 2020. Ninety eight respondents taken by purposive sampling as the sample of the research. The data was obtained by filling out questionnaires and KIA books, then analyzed with chi-square test (α = 0.05). The results showed that there was a significant relationship in quality (p-value = 0.004) and quantity (p-value = 0.003) toward stunting.


2016 ◽  
Vol 12 (3) ◽  
pp. 89
Author(s):  
Heni Hendriyani ◽  
Enik Sulistyowati ◽  
Astidio Noviardhi

Background: It is a fact that natrium consumption relates to hypertension and the risk of heart disease and stroke. Even though it is common happened in later life, hypertension can be started in early age.Objective: The aim of the study is to identify salty food preference, high natrium food consumption, natrium intake, weight and its correlation with blood pressure among schoolchildren.Method: The study used cross-sectional design. There were 151 samples from junior high school chosen by purposive sampling. Food salty level data was assessed by eating the snack with three different salt concentration. High and low natrium source food and natrium intake data were taken using semi-quantitative food frequency questionnaire. Blood pressure was measured by sphygmomanometer digital. Bivariate analysis was used Chi-square and Rank Spearman test.Results: The study revealed that 74,2% children prefer snack with the salt level above recommendation (> 0,5 gr salt per portion ). There were 22,5% children have natrium intake from food only ≥2000 mg (above recommendation). As much as 35,8% children fall into hypertension category based on their blood pressure (BP) level. There was a significant relationship between high natrium food consumption score with natrium intake (p=0,002). There were significant correlation between weight with systolic and diastolic BP ((p=0,000 r=-0,549 and p=0,000 r=-0,412). There were no correlation between atrium intake with systolic and diastolic BP (p=0,764;  r= 0,0025 and p=0,819 r=0,19).Conclusion: Healthy food and maintaining normal weight information and education must be done for children as early as possible.


2014 ◽  
Vol 1 (1) ◽  
Author(s):  
Khusnul Khotimah ◽  
Ova Emilia ◽  
Mohammad Hakimi

PEMANFAATAN POJOK LAKTASI DI PUSKESMAS I CILONGOKKABUPATEN BANYUMASKhusnul Khotimah, Ova Emilia,Mohammad HakimiABSTRACTBackground : Based on survey Indonesian demographic and health in 2007 that exclusive breastfeeding 38 %decrease from 39,5% in 2002-2003, child under 6 months who gets milk incease from 16,7% until 27,9% in2007. American Academy of Pediatrics (1)get recomendation baby must get exclusive breastfeeding in 6 monthuntil 2 years old. Banyumas regency are have a program to increase scope of exclusive breastfeeding by regulationof regent number 52 in 2012 about increase exclusive breastfeeding in Banyumas Regency. One of the material insocialization is about lactation room and standardization, right of women worker to breastfed in office, publicfacility.Objective : to determine factors can effected utilization of lactation room in Puskesmas I Cilongok.Methods : this study was an observational study with a cross sectional design and qualitative study or called mixmethod. Location of study in Puskesmas I Cilongok. Sample of this study is employed mother who breastfeedand visitors of Puskesmas I Cilongok in Banyumas Regency. Sampling method used sampling convinience get 41women until this study done. independent variable are attitude of breastfeed mother about lactation room andbehavior of breastfeed mother. Dependent variable is utilization of lactation room. Data analysis consisted ofunivariable analysis, bivariable analysis using chi-square test and multivariable analysis using logistic regressiontest and also qualitative analysis.Results and Discussion : there is no effect attitude of breastfeed mother about lactation room with utilization oflactation room, can we see from p = 0,247 (RP1,58; 95% CI 0,70-3,55), the similar result from dialogue thatmother have good attittude but not utilized, they say not get socialization from health worker. The good Behaviorbreastfeed mother have relation with utilization, can we see p = 0,028, RP2,35 (95% CI 1,05-5,23). Results fromdialogue mother who get bad behavior not utilized. Utilization in lactation room only just breastfeeding, neverused to pamp and saving breastmilk. People not respond that room lactation is a necessary, because withoutpolicy about room lactation, they are can breastfed in any where.Conclusion : Good attitude of breastfeed mother about lactation room can not get effect utilization of lactationroomand good behavior breastfeedmother can get effect with utilization lactation room in Puskesmas I Cilongok.Keyword: attitude breastfeed mother, behavior breastfeed mother and utilization lactation room ABSTRAKLatar Belakang:Berdasarkan data Survey Demografi dan Kesehatan Indonesia (SDKI) tahun 2007 tercatat bahwacakupan ASI eksklusif sebesar 38% menurun dari 39,5%di tahun 2002-2003, sementara jumlah bayi dibawah 6bulan yang diberi susu formula meningkat dari 16,7% menjadi 27,9% ditahun 2007. American Academy ofPediatrics (1)merekomendasikan bahwa durasi minimal ASI eksklusif menjadi 6 bulan tetapi optimal harus terusselamaminimal 2 tahun.Kabupaten Banyumas sedangmemiliki program gunameningkatkan cakupan ASI eksklusifyang dituangkan lewat Peraturan Bupati Banyumas nomor 52 tahun 2012 tentang peningkatan pemberian ASI diKabupaten Banyumas. Salah satu materi sosialisasi tersebut berisi tentang anjuran pengadaan pojok laktasibeserta standarisasinya, hak ibu bekerja yang menyusui di kantor pemerintahan, sarana pra sarana umum juga.Tujuan:Untuk mengetahui faktor-faktor yang mempengaruhi pemanfaatan pojok laktasi di Puskesmas I Cilongok.Metode:Penelitian ini menggunakan jenis observasional dengan desaincross sectionaldan kualitatif. Tempatpenelitian Puskesmas I Cilongok. Sampel penelitian ibu bekerja menyusui dan pengunjung puskesmas memilikibayi umur 0 bulan sampai dengan 2 tahun berada di Puskesmas I Cilongok. Pengambilan sampel menggunakansampling conviniencediperoleh 41 orang selama penelitian dilakukan.Variabelindependen adalah sikap ibumenyusui terhadap pojok laktasi, perilaku ibu menyusui. Variabel dependen ialah pemanfaatan pojok laktasi.Analisa data meliputi analisis univariabel, bivariabeldengan menggunakan chi square sedangkan multivariabelmenggunakan uji regresi logistik serta analisis kualitatif.Hasil dan Pembahasan:Sikap ibu menyusui terhadap ketersediaan pojok laktasi tidakmempengaruhi pemanfaatanpojok laktasi dilihat dari nilai p = 0,247 (RP1,58; 95% CI 0,70-3,55), hasil ini didukung hasil wawancara bahwasikap baik tetapi tidak memanfaatkan pojok laktasi dengan alasan sosialisasi yang kurang dari petugas kesehatan.Perilaku ibu menyusui yang baik berhubungan dengan pemanfaatan pojok laktasi dilihat dari nilai p = 0,028,RP2,35 (95% CI 1,05-5,23). Hasil wawancara ibu yang berperilaku tidak baik cenderung tidak memanfaatkanpojok laktasi. Pemanfaatan pojok laktasi hanya untuk menyusui saja, tidak digunakan untuk memeras danpenyimpanan ASI. Rendahnya pemanfaatan pojok laktasi dikarenakan faktor kebutuhan. Masyarakat desa tidakmenganggap bahwa pojok laktasi merupakan kebutuhan, karena tanpa adanya kebijakan pengadaan pojok laktasimereka dapat menyusui dimanapun.Kesimpulan:sikap ibu menyusui terhadap ketersediaan pojok laktasi yang baik tidak mempengaruhi pemanfaatanpojok laktasi dan perilaku ibu menyusui yang baik dapat mempengaruhi pemanfaatan pojok laktasi di PuskesmasI Cilongok Kabupaten Banyumas.Kata kunci: sikap ibu, perilaku ibu, pemanfaatan pojok laktasi


Author(s):  
Sana Siddiqui ◽  
Suhailur Rehman ◽  
Imam Bano ◽  
Sayeedul H. Arif

Background: Cancer cervix is the most common genital tract malignancy encountered in developing countries. In India, first visit to the gynaecologist for most women is during pregnancy and it may be the only visit. Hence, prenatal care offers an excellent opportunity to implement cervical screening in patients of young age, especially in women who do not seek routine health care. Therefore, this study was conducted to know the prevalence of abnormal Pap smear among the ante-natal women and to evaluate the result in relation to various risk factors.Methods: Cross sectional observational study conducted on 425 ante-natal women attending the antenatal clinic using questioner addressing various socio-demographic variables. Measures of central tendency calculated and result was tabulated by using chi-square test.Results: Maximum number of cases in our study was NILM i.e.314 (74%) followed by 68 cases of Candida (16%), 30 cases of Bacterial vaginosis (7.1%) and 10 cases of Trichomonas vaginalis (2.4%). Only 3 cases of abnormal Pap smear was reported i.e. 2 of ASCUS and 1 of LSIL. Thus, prevalence of abnormal Pap smear was 0.7%.Conclusions: In country like India where organised screening programme are not available, as well as the awareness and uptake of available services by the target population is also poor; screening in pregnancy is worthwhile and may be a viable option to reduce the burden of cervical carcinoma. 


2018 ◽  
Vol 1 (2) ◽  
pp. 111
Author(s):  
Bangun Dwi Hardika

Health is the most important thing in people life, physically and mentally. Besides body�s health in general teeth and mouth health also must get special attention, because teeth and mouth health affects body�s health. Dental caries is a pathological process that occurs because of the interaction of factors inside and outside factors such as behavioral factors, knowledge and attitudes toward maintenance of teeth and mouth. The research aimed to understand the relationship between knowledge and attitude of grade V students of 131 elementary school Palembang toward the teeth caries. The method used in this research is analitical method by using cross sectional design, taking samples technique by using total population way and the samples are 167 student of grade V. From The result of this study it was know that, 33.5% of children who have a low knowledge, 43.1% of children have negative attitudes and 59.3% of children experienced dental caries. From Chi square test results showed no relationship between knowledge of children with dental caries with p value of 0.036; there is a correlation between the attitudes of children with dental ceries with p value, 0.000. In order to decrease the number of teeth caries among students, it is hoped that school make a school teeth health unit (UKGS) and some mediators and teachers need to make a teeth health socialization so that the students can get more knowledge about teeth and mout health. Key word: Knowledge, Attitude, and Teeth Caries


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