scholarly journals Midwives preparation to provide delivery services in independent midwife practice during COVID-19 pandemic

2021 ◽  
Vol 5 (3) ◽  
pp. 344-351
Author(s):  
Siti Zakiah Zulfa ◽  
Ova Emilia ◽  
Asri Hidayat

The COVID-19 pandemic has had a tremendous impact on the world of health, including delivery services at the independent midwife practice. Midwives must change its service system and follow maternity service procedures that the central government has set. The purpose of the study was to explore in-depth the preparation of midwives in providing delivery services at independent midwife practice during the COVID-19 pandemic. This study uses descriptive qualitative research through a phenomenological approach involving seven informants. Data were collected utilizing one-on-one in-depth online interviews using a semi-structured interview guide. Data analysis was done manually using thematic analysis. Data analysis shows that midwives are prepared to provide delivery services at independent midwife practice during the COVID-19 pandemic by modifying infrastructure, providing Personal Protective Equipment (PPE), providing information about COVID-19, disseminating delivery service guidelines, and providing support, vaccinations, rapid screening tests for midwives.

2020 ◽  
Vol 18 (2) ◽  
pp. 1-14
Author(s):  
Deni Setiawan ◽  
Khalida Ulfa ◽  
Titin Purwaningsih

Special autonomy as one of the strategies in overcoming social welfare issues is one of them in Aceh Province. The implementation of regional autonomy after the reforms marked by the issuance of Law Number 33 of 2004 concerning the financial balance between the central government to the regions. The hope is to make the regions more autonomous or independent in government, and a more equal financial structure and the right to manage financial resources that are more transparent. This research focuses on the impact of the implementation of special autonomy in Aceh Province, limited from 2015 to 2019 in poverty alleviation efforts. This study uses a qualitative method with a descriptive approach to literature study and statistical data analysis. Data analysis techniques in this study were using statistical data analysis obtained from BPS. The results showed that special autonomy as an effort to reduce poverty in Aceh has a very good contribution because it has reduced poverty in Aceh from 819 thousand in March 2019 to 810 thousand people in September 2019. And the use of the special autonomy fund was channeled through programs made by the Aceh government in the fields of Education, Health, and the economy.


2019 ◽  
Vol 5 ◽  
pp. 237796081987180
Author(s):  
Ledric D. Sherman ◽  
DeLawnia Comer-Hagans ◽  
Anthony J. Pattin

Self-managing type 2 diabetes (T2D) is critical but often presents a challenge among African American men. Stress may exacerbate both mental and physical problems, which can lead to poor self-management; however, the evidence is sparse. The purpose of this manuscript is to examine the relationship the role of stress in type 2 diabetes management among a prospective group of African American men living in the southern United States. Nineteen African American men with T2D were recruited from barbershops and churches. Interviews were conducted using a semi structured interview guide. Transcripts were analyzed using a phenomenological approach and focused on identifying common themes describing the responses regarding any stress that the participants have pertaining to living with and managing T2D. The themes that emerged from the participant responses are: (a) experiencing less stress, (b) stress not attributed from diabetes, (c) avoid thinking about stress, and (d) some stress is prevalent. Overall, participants expressed either that diabetes was not attributing to the stress that they have or that they have less stress than they did prior to being diagnosed with T2D. In this sample of African American men, stress became a factor for some participants when considering the complications that can occur from diabetes. These findings suggest the need for key considerations to only incorporate general information about diabetes and stress management, but should be gender and culturally relevant to African American men.


2019 ◽  
Vol 3 (2) ◽  
pp. 67
Author(s):  
Made Rismawan ◽  
IGNM Kusuma Negara ◽  
Ni Komang Tri Agustini

ABSTRAK.Latar Belakang. Pengalaman orang tua penting diteliti agar manfaat bawang merah khususnya untuk menurunkan demam anak menjadi lebih jelas sehingga dapat mencegah terjadinya komplikasi lebih lanjut pada anak yang mengalami demam. Metode Penelitian. Penelitian ini merupakan penelitian kualitatif dengan pendekatan fenomenologi yang dilaksanakan di Puskesmas I Denpasar Selatan. Penelitian ini menggali pengalaman orang tua khususnya tentang cara pemberian bawang merah pada anaknya. Jenis data pada penelitian ini adalah data primer dan sekunder dengan menggunakan pedoman wawancara semi terstruktur dengan teknik in-deepth interview. Hasil pengumpulan data dianalisa menggunakan analisa data kualitatif. Hasil Penelitian. Semua informan pada penelitian ini menyatakan bahwa pemberian bawang merah bermanfaat menurunkan demam yang dirasakan oleh anak mereka. Pembahasan. Pemberian bawang merah pada anak yang mengalami demam dapat dilakukan oleh orang tua. Melalui pemberian bawang merah ini, maka akan mampu menurunkan komplikasi akibat demam. Orang tua juga harus mampu mengidentifikasi derajat demam anak sehingga dapat memutuskan dengan tepat kapan waktunya anak harus dibawa ke pelayanan kesehatan. Simpulan. Pemberian bawang merah mampu menurunkan demam yang dirasakan oleh anakKata kunci : pengalaman orang tua, pemberian bawang merah, anak demam. ABSTRACT. Background. Parents' experience is important to be investigated to identify the benefits of shallot in particular to reduce a child's fever become clearer. So that it can prevent further complications in children who have a fever. Research methods. This research is a qualitative research with a phenomenological approach carried out at the Health Center I of South Denpasar. This research explores the experiences of parents especially about how to give shallot to their children. The type of data in this study are primary and secondary data using semi-structured interview guidelines with in-depth interview techniques. The results of data collection were analyzed using qualitative data analysis. Research result. All informants in this study stated that giving shallot was useful in reducing the fever felt by their children. Discussion. Giving shallot to children who have a fever can be done by parents. By giving shallot, it will be able to reduce complications due to fever. Parents also need to be able to identify the degree of a child's fever so that they can decide exactly when the child should be taken to health services. Conclusions. Giving shallot can reduce the fever felt by children.Keywords: parental experience, giving shallots, fever children.


2019 ◽  
Vol IV (IV) ◽  
pp. 350-359
Author(s):  
Fareed Ul Hassan ◽  
Syed Abdul Waheed ◽  
Nadia Gilani

Treating teachers appropriately is considered extremely important for promoting a healthy and effective school environment. The present research predominantly focused on headteachers professional behaviour towards teachers in an attempt to explore teachers unheard voices. A phenomenological approach was employed to uncover teachers experiences of how they are treated by the headteachers in schools. Fifteen teachers were purposively selected from public and private schools of an administrative division in the province of Punjab, Pakistan. The participants were interviewed using a semi-structured interview guide. The underlying themes were explored through a thematic analysis of the text. The emergent themes include teacher-head teacher interaction, authoritative in the meetings, favouritism and biases, ignoring staff members, hurting self-respect and frustration and isolation. The study has implications for school improvement and further research on headteachers experiences that lead them to a certain type of behaviour towards teachers.


2020 ◽  
Author(s):  
Nurhayati ◽  
Tri Bayu Purnama

Abstract One of the roles of religious leaders/ulama that can prevent the transmission of COVID-19 is education and socialization in the process of handling and burial of corpses. The varying practice on handling and burial of corpse in the community, as well as different perceptions of each cleric, are factors that hinder the implementation of the corpse handling and burial protocol with the COVID-19 procedure. This study aims to understand the differences in perceptions and responses of ulama in the process of handling and burial of dead bodies in Indonesia. This study interviewed 6 prominent ulama figures in each of the significant Islamic religious organizations in Indonesia as representatives of each practice of handling and burial of corpse. The case study research design with a structured interview guide was carried out by telephone in the COVID-19 pandemic. Data analysis was carried out with content analysis to classify variations in perception and response to the corpse handling and burial process with the COVID-19 procedure. All scholars interviewed in this study were men over 40 years of age and understand that the COVID-19 procedure in handling and burial of dead bodies can reduce the potential for disease transmission even though some clerical figures argue that there is a difference in opinion between ulama and the COVID-19 procedure. All scholars / religious leaders say that the handling and burial of the dead body using the COVID-19 protocol must be carried out by considering the possibility of disease transmission. However, some have adjusted the procedure to the religious values ​​held by the organization. Comprehensive socialization and coordination can reduce misperceptions and misinformation in the process of handling and burial for corpses with the COVID-19 procedure so that the carrying out of handling and burial of dead bodies can prevent new COVID-19 clusters in the community.


2021 ◽  
Author(s):  
Biniyam Altamo Ashengo ◽  
Sophie Soklaridis

Abstract Background: Ethiopia has been training health officers as non-physician clinicians to meet the urgent public health service needs including preventive and health promotion as well as curative services. However, to date there is a lack of evidence of whether the curriculum content of the program meets the needs of the community. The purpose of this study was to explore the perception among health officers on whether the curriculum prepared them with what they need to know for practice when deployed to district hospitals and rural health centersMethod: A qualitative research design was used to explore health officer’s perceptions on the curriculum for clinical practice. The study was conducted in Dale district, Sidama region, southern Ethiopia. Data collection was done using semi-structured interview guide with open ended questions. The interview guide were developed using the first author’s experience as a health officer who recently graduated the program. All public health officers training graduates in the Dale districts, included in the study. Data analysis was done following a thematic analysis approach. The data was analyzed using ATLAS.ti qualitative data analysis software. Result: The study revealed a major curriculum-related gap which contributed to the perceived knowledge gap of public health officers. The main gap identified was the disproportional time allocation for very crucial courses of basic sciences and clinical practice during training. In addition the curriculum lacked a strict monitoring system of its implementation. Conclusion: Based on the result most participants believed the course content of the curriculum was very strong and crucial for public health officers. Some weakness of the curriculum were also identified which created the perceived knowledge gap of public health officers. The main weakness in the curriculum was that some of the courses were not proportionally allocated with adequate time for course contents like that of basic science and clinical courses.


2021 ◽  
Vol 2 (2) ◽  
pp. 50-70
Author(s):  
Rida Irfan ◽  
Ayesha Aziz

The current qualitative study aimed to explore the Mystical Experiences among religious preachers. A Purposive sampling technique was employed to select a sample of (n=10) religious preachers who had encountered at least one mystical experience. The transcendental phenomenological approach was used to capture the essence of the mystical experiences, through in-depth semi structured interview guide which was developed based on five domains namely exploration of mystic features, beliefs, impact on life, sharing of mystical experiences as well as the religious and cultural oriented explanations. Initially, a pilot study was conducted to assess the feasibility of the semi-structured in-depth interview guide and also to finalize the road map for the main study. The main study was conducted after incorporating changes in the pilot study. The modification of Stevick-Colaizzi-Keen’s model by Maustakas (1994) was employed for data analysis followed through a series of steps such as bracketing, horizonalization of data, grouping of significant statements to constitute themes (triggers, perceptual experience, symbolism and derived meanings, significant figures, reaction, and the cultural explanation of mystical experiences), textural description (‘what’ happened during a mystical experience) and a structural description (‘how’ this experienced occurred) with verbatim examples was developed. Both these descriptions were combined to write a composite description that reflected the ‘essence’ of the mystical experiences and highlighted the causes, characteristics, perceptual experiences, beliefs, and its impact. The findings highlighted the subjective nature of the mystical experiences and the need to develop an indigenous formal criterion for the identification of such experiences.


CJEM ◽  
2019 ◽  
Vol 21 (6) ◽  
pp. 798-802 ◽  
Author(s):  
Vanessa Rojas-Luengas ◽  
Bianca Seaton ◽  
Katie Dainty ◽  
Shelley McLeod ◽  
Catherine Varner

ABSTRACTObjectiveThe purpose of this qualitative study was to explore the experiences and perceptions of care of women treated for early pregnancy complications in a Canadian emergency department (ED) and early pregnancy clinic (EPC).MethodsWe conducted a descriptive qualitative study to understand the perceptions, meanings, and perspectives of women of 18 years and older who presented to the ED or EPC of an urban, tertiary care hospital with early pregnancy complications or loss. Using a semi-structured interview guide, a 45- to 60-minute telephone interview was conducted by a trained qualitative interviewer at 4 to 6 weeks after the ED visit. All interviews were digitally recorded and transcribed verbatim for analysis. Data analysis occurred in conjunction with data collection in order to continuously monitor emerging themes and general areas for further exploration. Interviews were conducted until thematic saturation had occurred.ResultsInterviews were completed with 30 women between June and August 2018. Three key themes arose: disconnect of the ED's role in the provision of care, normalization of a chaotic healthcare experience, and finding connection through the institution's EPC.ConclusionsPerspectives of women with early pregnancy complications highlight the ways in which ED care often does not meet the expectations or needs of patients and their families. The emotional complexity of this medical situation is often overlooked by ED staff and can produce encounters that are distressing. However, negative experiences were often mitigated by follow-up care in the institution's EPC.


2020 ◽  
Vol 3 (3) ◽  
pp. 165
Author(s):  
Primastika Supadmi ◽  
Wenny Artanty Nisman ◽  
Elsi Dwi Hapsari

ABSTRAKLatar Belakang: Keefektifan KP ibu dalam meningkatkan pemberian ASI eksklusif telah terbukti dalam banyak penelitian akan tetapi pelaksanaan KP ibu belum berjalan secara optimal di Indonesia. Sebanyak 22 KP ibu telah dibentuk di Kecamatan Pakem sejak tahun 2011, namun saat ini hanya beberapa KP ibu yang masih aktif. Hal ini dapat disebabkan oleh berbagai faktor. Faktor yang berasal dari peserta KP ibu masih belum banyak diteliti. Tujuan: Mengeksplorasi pengalaman keikutsertaan peserta dalam Kelompok Pendukung Ibu. Metode: Penelitian kualitatif dengan pendekatan fenomenologi. Partisipan penelitian berjumlah tujuh partisipan terdiri atas empat partisipan dari KP ibu aktif dan tiga partisipan dari KP ibu tidak aktif. Pengambilan data dilakukan pada bulan September-November 2015 menggunakan teknik wawancara mendalam semi struktur dan analisis data menggunakan metode Colaizzi. Hasil: Ditemukan enam tema yang terbagi atas dua tema di KP ibu aktif dan empat tema di KP ibu tidak aktif. Dua tema di KP ibu aktif yakni 1) menambah pengetahuan, memberikan solusi masalah anak, kesenangan saat berkumpul dan bernyanyi serta kesempatan berbagi pengalaman dan 2) pelaksanaan KP ibu belum berjalan optimal disebabkan faktor dari motivator, peserta, dan lingkungan. Empat tema pada KP ibu tidak aktif yakni 3) menambah pengetahuan, memberikan kesempatan berbagi pengalaman, dan mengubah keputusan untuk menyusui, 4) sulitnya mengumpulkan peserta, 5) peserta kurang berminat mengikuti kegiatan KP ibu, dan 6) tidak banyak memberikan pengetahuan baru pada peserta. Kesimpulan: Secara umum, kegiatan KP ibu memberikan banyak manfaat bagi peserta. Kendala pelaksanaan kegiatan KP ibu berasal dari faktor motivator, peserta, dan lingkungan.Kata Kunci: Kelompok Pendukung Ibu,ASI eksklusifExperience of Participation in a Mother Support Group to Increase Exclusive BreastfeedingABSTRACTBackground: The effectiveness of mother support group (MSG) in increasing exclusive breastfeeding has been proven in many studies but the implementation of the MSG has not run optimally in Indonesia. A total of 22 MSGs had been formed in Pakem since 2011, but currently only a few MSG is still active. It can be caused by various factors. Factor derived from the participants still have not been studied. Objective: To explore the participation experience of participants in the MSG. Methods: Qualitative research with phenomenological approach. The study participants were seven participants consisted of four participants from active MSG and three participants from inactive MSG. Data were collected in September-November 2015 using a semi-structured interview technique and indepth. Data analysis using Colaizzi method. Results: Six themes were found in this study, divided into two themes in active MSG and four themes in inactive MSG. Two themes in the active MSG are 1) to increase knowledge, provide solutions for children’s problem, pleasure gather and sing as well as the opportunity to share experiences and 2) the implementation of the MSG is not optimal due to factors of motivators, participants, and the environment. Four themes at inactive MSG are 3) to increase knowledge, provide an opportunity to share experiences, and change the decision to breastfeed, 4) the difficulty of gathering participants, 5) participants are less interested in following the MSG activities, and 6) does not give much new knowledge to the participants. Conclusion: In general, MSG activity provides many benefits to the participants. Constraints of MSG implementation came from factors of motivator, participants, and the environment.Keywords: Mother Support Group, Exclusive Breastfeeding


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