scholarly journals MOTIVASI BIDAN DALAM PELAKSANAAN INISIASI MENYUSU DINI DI WILAYAH KERJA PUSKESMAS AMBARAWA

2017 ◽  
Vol 3 (2) ◽  
pp. 56
Author(s):  
Putri Kusuma Wardhani
Keyword(s):  
Public Health ◽  
Infant Mortality ◽  
Qualitative Method ◽  
Sampling Technique ◽  
Infant Mortality Rate ◽  
Important Indicator ◽  
Purposive Sampling ◽  
Early Initiation Of Breastfeeding ◽  
The Village ◽  
Initiation Of Breastfeeding

Latar Belakang: Angka Kematian Bayi (AKB) merupakan salah satu indikator penting dalam menentukan tingkat Kesehatan masyarakat, 22% kematian bayi baru lahir yaitu kematian bayi yang terjadi dalam satu bulan pertama dapat dicegah melalui IMD. IMD diyakini mampu mengurangi risiko kematian balita hingga 22% namun pelaksanaan IMD di wilayah kerja Puskesmas Ambarawa sudah dilaksanakan oleh para Bidan walaupun tidak dilakukan selama satu jam penuh (antara 30 menit sampai satu jam). Tujuan Penelitian: untuk mengeksplorasi motivasi bidan dalam pelaksanaan IMD di wilayah kerja Puskesmas Ambarawa. Metode Penelitian: Penelitian ini menggunakan metode kualitatif dengan menggunakan teknik wawancara mendalam (indeph interview). Teknik pengambilan sampling dengan teknik  purposive sampling. Jumlah partisipan sebanyak 3 orang bidan di wilayah kerja Puskesmas Ambarawa. Hasil: Hasil wawancara mendalam pada partisipan didapatkan informasi tentang pengetahuan IMD, prinsip IMD, keuntungan IMD berfokus pada ibu dan bayi, adanya faktor pendukung IMD dari pelatihan dan sosialisasi serta dukungan keluarga, faktor penghambat sangat kecil karena budaya dan adat istiadat yang masih ada di suatu desa. Kesimpulannya motivasi Bidan tentang pelaksanaan IMD sudah baik, namun masih ada penghambat dari adat istiadat dan budaya. Kata kunci: Motivasi; Bidan; Pelaksanaan IMD.  MIDWIFE MOTIVATION IN THE IMPLEMENTATION OF EARLY INITIATION OF BREASTFEEDING IN THE WORKING AREA OF PUSKESMAS AMBARAWA Abstract Background: Infant Mortality rate (IMR) is one of important indicator in determining the level of public health, 22% of newborn deaths that occurred in the first month can be prevented through the EIB. EIB is believed to reduce the risk of infant mortality by 22%. The implementation of EIB in Puskesmas Ambarawa already carried out by the midwives although not conducted for one hour (between 30 minutes to one hour). Purpose: The purpose of this study was to explore the motivation of midwives in the implementation of the EIB in Puskesmas Ambarawa. Method: A qualitative method which uses indepth interview was conducted in this study. Sampling technique that uses was purposive sampling technique. The participants of the study were three midwives in Puskesmas Ambarawa..Result:  The result of the study based on indepth interviews in participants show that the knowledge of EIB, principle of EIB, the benefit of EIB are focused on mothers and babies. The supporting factors of EIB derived from training, sosialization and family suport. Several inhibitting factors occured because of culture and customs that still exist in the village. The conclusionis that midwives motivation about the implementation of EIB has been good, but there is an obstacle that derived from traditions and culture. Keyword : Motivation, Midwife, Implementation of the EIB

scholarly journals Early initiation of breastfeeding at Dustira Hospital

2015 ◽  
Vol 55 (3) ◽  
pp. 126
Author(s):  
Yoke Ayukarningsih ◽  
Arief Dwinanda
Keyword(s):  
Birth Weight ◽  
Infant Mortality ◽  
Success Rate ◽  
Medical Records ◽  
Early Initiation ◽  
Infant Mortality Rate ◽  
Early Initiation Of Breastfeeding ◽  
Vaginal Deliveries ◽  
Preterm Group ◽  
Initiation Of Breastfeeding

Background The infant mortality rate (IMR) in Indonesia is higher than that in other ASEAN countries. The highest rate of mortality occurs in the first 24 hours of life. Suboptimal breastfeeding initiation is a cause of high IMR. In an effort to decrease infant mortality, implementing early initiation of breastfeeding (EIB) has been encouraged.Objective To assess the success rate and time needed for latching on in EIB implementation.Methods We reviewed medical records of vaginal deliveries at Dustira Hospital, Cimahi, West Java, from June–November 2011.Results From 305 vaginal deliveries, 174 infants received EIB, though only 159 medical records could be assessed. The results showed that 52 % did EIB with a 91.8% success rate (defined as good implementation by WHO) and a 8.2% fail rate. In terms of subjects’ birth weights, the success rate of EIB implementation was 62.5% in the low birth weight (LBW) group, 94.9% in the normal birth weight (NBW) group, and 100% in the large birth weight or macrosomic group. The success rate of EIB implementation was 69.2% in the preterm group and 93.8% in the full term group. The success rate of EIB implementation was 71.4% in the LBW/fullterm group and 55.6% in the LBW/preterm group. The amount of time for infants to latch on was highest within the 30–44 minute group (52.7%).Conclusion The EIB implementation at Dustira Hospital was classified as good and the amount of time to latch on was 30-44 minutes.

scholarly journals The effect of the quality of institutions on the relationship between public health expenditure and the infant mortality rate: evidence from the PVAR (X) and PSTR approaches

2021 ◽  
Vol 1 (1) ◽  
pp. 16-35
Author(s):  
Arthur Evariste KOUASSI ◽  
Ya Assanhoun Guillaume KOUASSI ◽  
Nogbou Andetchi Aubin AMANZOU
Keyword(s):  
Public Health ◽  
Mortality Rate ◽  
Infant Mortality ◽  
Health Expenditure ◽  
Infant Mortality Rate ◽  
African Countries ◽  
Important Indicator ◽  
Institutional Variables ◽  
Public Health Expenditure ◽  
Sub Saharan

Infant mortality is a major health problem in developing countries. It is an important indicator of a country's public health as it goes hand in hand with socio-economic conditions and many others. Public health spending has been committed to reducing this scourge. This has led to the completion of numerous studies which have yielded mixed results. The main objective of this study is to test the effect of public health expenditure (% GDP) on the infant mortality rate, taking into account the role that institutional quality can play. To achieve this, we use two approaches which are the autoregressive vector panel model with exogenous variables (PVAR (X)) and the smooth threshold regression model (PSTR) on annual data covering the period 2002-2016 and covering 37 African countries. Sub-Saharan. Our main results through the PVAR (X) reveal that in the absence of institutional variables, public health expenditure has a negative and significant effect on the infant mortality rate, whereas, in the presence of the various institutional variables, this effect is still negative but is no longer significant. Our results show that the presence of institutions halves the weight of public health expenditure in explaining the infant mortality rate. In addition, our results show through the PSTR that there is a certain level of institutional qualities that these countries must achieve for public health expenditure to positively affect infant mortality rates. These thresholds oscillate for all the institutional variables around 7%. Taking institutional variables into account will help reduce infant mortality in Sub-Saharan African countries.

scholarly journals Ernawati Koto

2021 ◽  
Author(s):  
GOVERNANCE: JURNAL POLITIK LOKAL DAN PEMBANGUNAN
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Learning Process ◽  
Qualitative Method ◽  
Communication Competence ◽  
Infant Mortality Rate ◽  
Knowledge And Skills ◽  
The Village ◽  
Depth Interviews ◽  
Village Midwife

The purpose of this study is to analyze the communication competence of village midwives and TBAs in supporting the decrease of maternal and infant mortality rate and to analyze the efforts of village midwives and TBAs in maintaining partnership in Singkohor sub-district of Aceh Singkil district. The method used is qualitative method with constructivist paradigm. Data were collected based on in-depth interviews on 6 informants consisting of 3 village midwives and 3 dukun bayi. The results showed that the midwives 'midwives' partnership and midwife communications process worked well. The communication competence of village midwives and midwives is seen from the motivation, knowledge and skills indicate that the motivation of the village midwife to partner with the dukun baby is due to the belief and closeness of the community to the midwife whose knowledge is gained from the experience passed down from generation to generation while the shaman has motivation partnering with the village midwife because the TBA believes in the credibility of midwives in handling childbirth where knowledge is gained from the learning process.

scholarly journals The Implementation of Early Initiation of Breastfeeding and The Sucking Reflex in Newborns

2018 ◽  
Vol 1 (1) ◽  
Author(s):  
Ermiati E ◽  
Restuning Widiasih ◽  
Anita Setyawati
Keyword(s):  
Infant Mortality ◽  
Sampling Technique ◽  
Mortality Rates ◽  
Early Initiation ◽  
Breastfeeding Initiation ◽  
Early Initiation Of Breastfeeding ◽  
Descriptive Approach ◽  
The Government ◽  
Quantitative Descriptive ◽  
Initiation Of Breastfeeding

Early initiation of breastfeeding (IMD) is a program recommended by the government in increasing the breastfeeding success, achieving exclusive breastfeeding and reducing the infant mortality rates. The IMD is a process of mothers initiates breastfeeding within one hour after delivery of their baby. During an hour, the baby looks for his mother's nipples without help. This would be useful to increase the ability of the baby's sucking reflex. The IMD is implemented in the delivery room as part of the APN procedure, however limited study in Indonesia assessed the IMD procedure. This study is aimed to assess the implementation of IMD and the sucking reflect of newborns in a hospital in Bandung city. This design of the study was the quantitative descriptive approach. The samples were 30 newborns. The samples were chosen using the accidental sampling technique. There were two types of instruments which are an observation sheet to check the procedure of IMD, and an instrument to assess babies’ sucking reflex including rooting, sucking, and swallowing reflexes. The study findings described in a frequency distribution. This study found that 100% of deliveries were carried out IMD inappropriately, and 86.7% of babies' sucking reflects were not achieved. The study concluded that the implementation of IMD was not maximal, and would be affected babies had not succeeded in breastfeeding.  It is expected that the hospital would implement IMD as the standard of maternity services.Keywords: Early Breastfeeding Initiation, Reflect

scholarly journals Knowledge, attitude, and behavior of pregnant women on early initiation of breastfeeding

2014 ◽  
Vol 54 (3) ◽  
pp. 174
Author(s):  
Yoke Ayukarningsih ◽  
Sutedja Sutedja ◽  
Anna Mardiyah
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Pregnant Women ◽  
Positive Attitude ◽  
Early Initiation ◽  
Infant Mortality Rate ◽  
Early Initiation Of Breastfeeding ◽  
Adequate Knowledge ◽  
Reduce Infant Mortality ◽  
Initiation Of Breastfeeding

Background Infant mortality rate is an indicator of the degree ofhealth in society. In Indonesia, the infant mortality rate remainshigh, with most deaths occurring in the first 24 hours of life.Breastfeeding has been shown to reduce infant mortality, especiallyif undertaken in the first hour of life. This practice is knownas early initiation of breastfeeding (EIB). According to variousstudies, EIB implementation may be influen ced by many factorssuch as knowledge, attitude, behavior, and health care facilities.Objective To assess the level of knowledge, attitude, and behaviorof pregnant women towards EIB.Methods We conducted a descriptive study using questionnaireson 74 pregnant women in the outpatient clinic of Obstetrics andGynecology Department, Dustira Hospital, Cimahi, West Java,Indonesia from November to December 2012.Results Out of 74 respondents, 21 % had a good level of knowledgeon EIB, 23% had an adequate knowledge, and 56% had less thanadequate knowledge on EIB. A positive attitude towards EIBwas found in 65% of the respondents, while 35% had a negativeattitude. With regards to behavior conducive to EIB, 8% ofrespondents had good behavior, 57% had moderate behaviot; and35%had less than adequate behavior.Conclusion Majority of pregnant women have less than adequateknowledge on EIB, a positive attitude towards EIB, and moderateto less than adequate behavior conducive to EIB.

scholarly journals UPAYA PENINGKATAN CAKUPAN ASI EKSKLUSIF DAN INISIASI MENYUSU DINI (IMD

2017 ◽  
Vol 9 (1) ◽  
pp. 77
Author(s):  
Mina Yumei Santi
Keyword(s):  
Infant Mortality ◽  
Support Group ◽  
Exclusive Breastfeeding ◽  
Government Regulation ◽  
Early Initiation ◽  
Infant Mortality Rate ◽  
Live Births ◽  
Early Initiation Of Breastfeeding ◽  
The Government ◽  
Initiation Of Breastfeeding

Infant mortality rate by Indonesia Demographic Health Survey in 2012 is still quite high at 32 per 1,000 live births and under five year mortality rates of 40 per 1,000 live births. An effort to prevent infant mortality is by breastfeeding soon after birth or so-called early initiation of breastfeeding and exclusive breastfeeding. Coverage of exclusive breastfeeding nationwide in 2014 amounted to 52.3% is still below the national target of 80%. The aim of this research was to find the efforts to improve the coverage of exclusive breastfeeding and the early initiation of breastfeeding. The Efforts that can do are empowering people through Mother Support Group, socialize the Government Regulation No. 33 of 2012 on exclusive breastfeeding and breastfeeding counselor provides power. The local government is advised to draw up local regulations that support the implementation of the early initiation of breastfeeding program and exclusive breastfeeding so as to have binding legal force for all parties involved as well as to conduct promotion, monitoring, evaluating and supervising the implementation and achievement of the program exclusive breastfeeding.

scholarly journals Pengaruh Covid-19 Terhadap Kesehatan Mental Masyarakat Di Kota Malang

2020 ◽  
Vol 4 (4) ◽  
Author(s):  
Wahyu Setyaningrum ◽  
Heylen Amildha Yanuarita
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Psychological Health ◽  
Qualitative Method ◽  
Sampling Technique ◽  
Point Of View ◽  
Literature Study ◽  
Physical Point ◽  
Purposive Sampling ◽  
The Subject

It is undeniable that the presence of the COVID-19 pandemic has a major impact on public health. Not only from a physical point of view, but also psychological health because of the various problems and anxiety that occurs as a result. This study aims to see and find out how COVID-19 affects the mental health of the community, especially in Malang City, East Java. In the research, the writer used descriptive qualitative method assisted by purposive sampling technique. Of course, it is complemented by a simple literature study on various data and documents that already exist and are related to the subject under study. The results of this study show that the COVID-19 pandemic does have an impact on people's mental health, mainly due to high levels of stress due to illness caused by viruses, excessive anxiety, and various other influences.

scholarly journals UPAYA PENINGKATAN CAKUPAN ASI EKSKLUSIF DAN INISIASI MENYUSU DINI (IMD

2017 ◽  
Vol 9 (01) ◽  
pp. 69
Author(s):  
Mina Yumei Santi
Keyword(s):  
Infant Mortality ◽  
Support Group ◽  
Exclusive Breastfeeding ◽  
Government Regulation ◽  
Early Initiation ◽  
Infant Mortality Rate ◽  
Live Births ◽  
Early Initiation Of Breastfeeding ◽  
The Government ◽  
Initiation Of Breastfeeding

Infant mortality rate by Indonesia Demographic Health Survey in 2012 is still quite high at 32 per 1,000 live births and under five year mortality rates of 40 per 1,000 live births. An effort to prevent infant mortality is by breastfeeding soon after birth or so-called early initiation of breastfeeding and exclusive breastfeeding. Coverage of exclusive breastfeeding nationwide in 2014 amounted to 52.3% is still below the national target of 80%. The aim of this research was to find the efforts to improve the coverage of exclusive breastfeeding and the early initiation of breastfeeding. The Efforts that can do are empowering people through Mother Support Group, socialize the Government Regulation No. 33 of 2012 on exclusive breastfeeding and breastfeeding counselor provides power. The local government is advised to draw up local regulations that support the implementation of the early initiation of breastfeeding program and exclusive breastfeeding so as to have binding legal force for all parties involved as well as to conduct promotion, monitoring, evaluating and supervising the implementation and achievement of the program exclusive breastfeeding.

Perbandingan Linieritas Dalam Pendeteksian Faktor-Faktor Yang Mempengaruhi Angka Kematian Bayi Di Provinsi Aceh

2019 ◽  
Vol 2 (2) ◽  
Author(s):  
Desfira Ahya ◽  
Inas Salsabila ◽  
Miftahuddin
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Linear Model ◽  
Health Workers ◽  
Additive Model ◽  
Infant Mortality Rate ◽  
Mortality Data ◽  
Important Indicator ◽  
Penalized Spline ◽  
Aceh Province

Angka Kematian Bayi/ Infant Mortality Rate (IMR) merupakan indikator penting dalam mengukur keberhasilan pengembangan kesehatan. Nilai IMR juga dapat digunakan untuk mengetahui tingkat kesehatan ibu, kondisi kesehatan lingkungan dan secara umum, tingkat pengembangan sosio-ekonomi masyarakat. Penelitian ini bertujuan untuk memperoleh model IMR terbaik menggunakan tiga pendekatan: Model Linear, Model Linear Tergeneralisir dan Model Aditif Tergeneralisir dengan basis P-spline. Sebagai tambahan, berdasarkan model tersebut akan terlihat variabel yang mempengaruhi tingkat kematian bayi di provinsi Aceh. Penelitian ini menggunakan data jumlah kematian bayi di tahun 2013-2015. Data dalam penelitian ini diperoleh dari Profil Kesehatan Aceh. Hasil menunjukkan bahwa model terbaik dalam menjelaskan angka kematian bayi di provinsi Aceh tahun 2013-2015 ialah Model Linear Tergeneralisir dengan basis P-spline menggunakan parameter penghalusan 100 dan titik knots 8. Faktor yang sangat mempengaruhi angka kematian ialah jumlah pekerja yang sehat.   Infant mortality rate (IMR) is an important indicator in measuring the success of health development. IMR also can be used to knowing the level of maternal health, environmental health conditions and generally the level of socio-economic development in community. This research aims to get the best model of infant mortality data using three approaches: Linear Model, Generalized Linear Model and Generalized Additive Model with Penalized Spline (P-spline) base. In addition, based on the model can be seen the variables that affect to infant mortality in Aceh Province. This research uses data number of infant mortality in Aceh Province period 2013-2015. The data in this research were obtained from Aceh’s Health Profile. The results show that the best model can be explain infant mortality rate in Aceh Province period 2013-2015 is GAM model with P-spline base using smoothing parameter 100 and knots 8. Factor that high effect to infant mortality is number of health workers.

Empirical analysis of factors influencing the public health expenditure in Malaysia

2018 ◽  
Vol 6 (3) ◽  
pp. 1
Author(s):  
Kok Wooi Yap ◽  
Doris Padmini Selvaratnam
Keyword(s):  
Public Health ◽  
Mortality Rate ◽  
Infant Mortality ◽  
Health Expenditure ◽  
Price Index ◽  
Infant Mortality Rate ◽  
Public Health Expenditure ◽  
The Public ◽  
Empirical Results ◽  
Per Capita

This study aims to investigate the determinants of public health expenditure in Malaysia. An Autoregressive Distributed Lag (ARDL) approach proposed by Pesaran & Shin (1999) and Pesaran et al. (2001) is applied to analyse annual time series data during the period from 1970 to 2017. The study focused on four explanatory variables, namely per capita gross domestic product (GDP), healthcare price index, population aged 65 years and above, as well as infant mortality rate. The bounds test results showed that the public health expenditure and its determinants are cointegrated. The empirical results revealed that the elasticity of government health expenditure with respect to national income is less than unity, indicating that public health expenditure in Malaysia is a necessity good and thus the Wagner’s law does not exist to explain the relationship between public health expenditure and economic growth in Malaysia. In the long run, per capita GDP, healthcare price index, population aged more than 65 years, and infant mortality rate are the important variables in explaining the behaviour of public health expenditure in Malaysia. The empirical results also prove that infant mortality rate is significant in influencing public health spending in the short run. It is noted that macroeconomic and health status factors assume an important role in determining the public health expenditure in Malaysia and thus government policies and strategies should be made by taking into account of these aspects.

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