Analysis Factors Related to Behaviour among Madurese Mothers with Exclusive Breastfeeding

Introduction: The rate of exclusive breastfeeding in Indonesia is still low. Internal and external factors mother can cause a low rate of exclusive breastfeeding. This also happens because of the belief and traditional factors that can inhibit exclusive breastfeeding for babies. This study aimed to analyze the correlation of psychological factors, family support, and socio-culture with the behaviour of Madurese ethnic mothers in exclusive breastfeeding.Methods: This study used descriptive-analytical with a cross-sectional approach. The research sample collected 100 respondents with nonprobability sampling method is purposive sampling.Results: There was a moderate correlation between family support (p= 0.000; r = 0.373) and socio-culture (p= 0.000; r = 0.396) with the behaviour of Madurese ethnic mothers in exclusive breastfeeding. The analysis showed no relation between psychological factors and the behaviour of Madurese ethnic mothers in exclusive breastfeeding (p=0.071; r= 0.181).Conclusion: The Behaviour of Madurese ethnic mothers in exclusive breastfeeding in The Sidotopo Wetan Community Health Center, Surabaya, was related to family support and socio-culture. So, the research can be used as this information to optimize factors that increase exclusive breastfeeding behaviour.

A Qualitative Evaluation Study of The Infant and Young Child Feeding Counselling

Introduction: The Infant and young child feeding (IYCF) counselling program is an international strategy to improve IYCF practices in the community. This study aimed to explore the implementation of the program through the logic model approach.Methods: A qualitative method was employed for this evaluation study. Fifteen participants were selected by purposive random sampling, and data collection was conducted by in-depth interview, focus group discussion, observation, and document study. Data were processed from transcription, reduction, coding, categorizing to data interpretation and assessed by content analysis.Results: IYCF training is a cascading training and a combination of adult and fun learning that effectively produces a mixture of counsellors who can provide counselling using the counselling cards. However, the gap in the number of cadre counsellors and the target of counselling, as well as the limited time, low financial support, over workload, and inadequate supervision, resulted in poor recording and low numbers of clients who had been exposed to counselling. Nevertheless, this counselling has a positive effect on maternal knowledge and attitude. Still, the existence of traditional community practices, family and environmental factors are barriers to the implementation of proper IYCF practices.Conclusion: IYCF counselling effectively improved IYCF practices, so it has to be continued with strengthening the number of counsellors, recording and supervision activities. Changing strategy in counselling by involving other adult household members like grandmother or neighbours are explicitly targeted for more effective in improving the practices of infant and young child feeding.

The Effect of Reproductive Health Education on Knowledge and Attitudes of Adolescent About Premarital Sex in Private Vocational School Surabaya

Introduction: Adolescence is a period of storms and stress; health problems that occur in adolescents are related to risky behavior, namely smoking, drinking alcohol, abuse of illegal drugs and having premarital sexual relations. The research objective was to determine the effect of reproductive health education on adolescent knowledge and attitudes about premarital sex.Methods: The research design used a quasi-experimental. The study population totalled 356 students. The sampling technique uses non-probability sampling: purposive sampling. A sample size of 188 respondents was obtained—reproductive health education implemented by video and leaflet. Data analysis used the Wilcoxon and Mann Whitney tests with a significant level of 0.05.Results: The results showed that in the video group, the knowledge level was p=0.000, and the attitude was p=0.000. The leaflet group showed a level of knowledge of p=0.000 and an attitude of p=0.000. The difference between the two groups was tested by using the Mann Whitney test. It was found that there was no difference in the effect of the video and leaflet methods on knowledge of p=0.219 and attitudes of p=0.469.Conclusion: Leaflets are effective for health education because they can be read individually and contain topics about premarital sex, which are more personal. The school must provide integrated sexual education with formal lessons that use many methods to increase students’ knowledge.

Prevalence and Factors Affecting the Labor Experience: A Systematic Review

Introduction: Labor experiences have potential short and long term physical and psychological effects on women’s lives. Many factors influenced role in a mother’s experience of childbirth, both positively and negatively. This study aimed to determine the prevalence and factors that influence the delivery experience.Methods: This study searched for articles in the databases, namely Pub Med, Scopus, ProQuest, ScienceDirect, and Sage. The keyword used is labor experience. A total of 3654 articles were found, after selecting studies using PRISMA found 18 corresponding articles.Results: In this study, 18 studies were included in this systematic review, eight studies examined the prevalence of labor experiences. The prevalence of labor experience was 6.8-44%. Factors related to childbirth experiences included: individuals, such as age, parity, fear, self-efficacy, participation, control, expectations, preparation, and interpersonal, such as husband support, caregiver support, unwanted medical problems, such as prolonged labor, stimulation, and induction, forceps delivery, emergency cesarean section, and use of analgesics in mothers, low APGAR scores and transfer to the NICU.Conclusion: This review showed the various factors associated with the childbirth experience. This finding suggests conducting further research into the reason these factors influence the experience of labor.

The Effect of Lecture, Brainstorming, Demonstration Towards Breast Self-Examination Behavior Based on Health Belief Model

Introduction: Breast cancer is the leading cause of cancer-related disability and death in women due to a lack of education using Lecture, Brainstorming, Demonstration (LBD) on Breast Self-Examination (BSE) behaviour in adolescents.Methods: This research was a quasi-experimental research with pre-post treatment and control groups. Fifty-six respondents were selected by purposive sampling. Data were obtained using a questionnaire then analyzed using the Wilcoxon Signed Rank Test and the Mann Whitney U test with a significance level p < 0.05.Results: LBD significantly improved BSE behaviour in young women by perceived susceptibility, perceived severity, perceived barrier, perceived benefit, and perceived self-efficacy (p = 0.00).Conclusion: Delivering LBD health education methods can boost perceived susceptibility, perceived severity, perceived barrier, perceived benefit, perceived self-efficacy of teenagers regarding SADARI behaviour. Teenagers are given health education to increase their knowledge of breast cancer.

Factors Affecting the Implementation of Developmental Care in the Care of Premature Babies in NICU Nurses: A Systematic Review

Introduction: Developmental care-based preterm infant care management that aims to protect the neurological system and reduce adverse effects has developed over the last few decades. The study aimed to explore the factors that influence the implementation of developmental care among NICU nurses.Methods: The study was systematically identified by searching an electronic database using keywords "preterm infant" AND "developmental care" AND "nursing care" AND "NICU" and consisted of 2130 articles from Scopus, Science Direct, goggle scholar, ProQuest, and PubMed. Data sources were limited to articles published from 2015 to 2020 and those published in English. Thirteen studies were included in this systematic review. The inclusion criteria were nurses caring for preterm infants at the NICU, a cross-sectional descriptive study of quantitative or qualitative research.Results: Thirteen articles indicated that the developmental care implementation among NICU nurses was influenced by positive, perceptions knowledge, attitudes of developmental care. Professional skills are the most substantial impact on developmental care implementation to improve nurses' nursing development and increase the competence of individual nurses.Conclusion: Positive perceptions about organizational support and developmental care are needed. The training care program also benefits to nurses by increase self-confidence in implementing developmental care for premature babies.

A Systematic Review of Endocrine Therapy for Improved Reproductive and Metabolic Outcomes in PCOS Women

Introduction: Polycystic ovarian syndrome (PCOS) is characterized by infrequent or absent ovulation as well as elevated levels of androgens and insulin (hyperinsulinaemia). The purpose of this study was to determine the efficacy of endocrine treatment in improving reproductive and metabolic outcomes in women with PCOS.Methods: We searched the following databases from inception to Maret 2020: PubMed, Proquest, ScienceDirect, Scopus and CINAHL. We investigated at metformin, clomiphene citrate, metformin plus clomiphene citrate, D-chiro-inositol, statins, and resveratrol as treatments. We compared them to each other, as well as to a placebo or no therapy. The quality of the evidence ranged from extremely low to moderate. The risks of bias (poor reporting of technique and inadequate outcome data), imprecision, and inconsistency were the limitations.Results: Although the evidence quality was low, our latest evaluation indicated that metformin alone may be superior to placebo for live birth. Data for live birth were equivocal when metformin was compared to clomiphene citrate, and our conclusions were hampered by a paucity of evidence. Body mass index (BMI) varies in the results, emphasizing the need of stratifying data by BMI.Conclusion: Clinical pregnancy and ovulation improvements demonstrate that clomiphene citrate is still preferred to metformin for ovulation induction in obese women with PCOS.

Editorial: Community Adaptation to Photobiomodulation Near-Infrared Based on Post-Partum Culture Care

Editorial: Community Adaptation to Photobiomodulation Near-Infrared Based on Post-Partum Culture Care

The Role of Tuan Guru on Improving Iron Intake and Minimalizing Food Restriction Behavior among Pregnant Women with Anemia

Introduction: Anemia in pregnancy is an indirect cause maternal mortality. One of causes anemia during pregnancy is deficit of nutrient especially intake of iron. The aim of this study was to know that the role of religious leaders that called “Tuan Guru” as agent of change to improving iron intake among anemia pregnant women.Methods: This study was quasi-experimental with pre and post-test group design. 86 participants pregnant women with anemia have been recruited in this study with purposive sampling technic. They were divided in intervention group (47 participants) and control group (39 participants). This study involved Tuan Guru as main intervention to give health promotion about nutrition during pregnancy. This study used food recall as an instrument tool that it used to measure nutrient intake especially intake of iron both pre and post intervention and also used questonare to measure food restriction behaviour among anemia pregnant women. Statistical test used paired t-testResults: This study show that there were effect of religious leaders to improving the iron intake among pregnant women with anemia with p=0.01. This study also found that the habits of food restriction among pregnant women are decline between before and after intervention with p=0.00.Conclusion: Tuan Guru has a strong influence in helping to increase nutritional intake and is able to minimize the food restriction behaviour among anemia pregnant women. The result of this study can be a basis for government to make a policy related to involvement of religious leaders in health promotion.

Health Education of Clean and Healthy Lifestyle using Card Telling Methods towards Diarrhea Prevention Among Children in Elementary School

Introduction:Diarrhea was one of the common diseases that easily acquired by school-age children. It is caused by a lack of health education about hygiene and health. Clean And healthy lifestyle education is one of the viable solutions to prevent diarrhea in elementary school-age children. The purpose of the research is to analyze the effect of health education hygiene and health behavior by using a card-telling method toward child elementary school-aged diarrhea prevention behavior.Methods: This study used a quasi-experimental design. The total number of respondents is 60 children. The respondents were recruited by purposive sampling method. The instrument of study is a card telling and modified the questionnaire adjacent to the previous study. The data were collected used questionnaires and observations than analyzed used significance of <0.05 Wilcoxon sign rank test and Mann-Whitney U test.Results: The Wilcoxon sign rank test result by using a card telling method has a total value p=0.000, then <0.05 there is the effect of the card telling method on hygiene and health behavior to preventing diarrhea knowledge, attitude, and action of the child elementary school age. The statistical analysis showed differences in post-test results between the control group and the treatment group with p=0.000.Conclusion: The card telling method could increase the level of knowledge, attitude, and skill of the child elementary school age. The nurse could use a card telling to achieve optimal results in giving the health education of children.