DETERMINANTS OF NEONATAL MORTALITY BASED ON THE 2017 INDONESIAN DEMOGRAPHIC AND HEALTH SURVEY (IDHS)

ABSTRACTInfant mortality is still a major health problem in Indonesia as 63% of deaths occur in the neonatal period. The trend of the neonatal mortality rate in Indonesia has decreased from 15 (2017) to 13 deaths per 1,000 live births (2018), but this does not meet the Sustainable Development Goals (SDGs) target. Evidence-based health interventions are based on determinants that most influences neonatal mortality. The purpose of this study was to determine the most influential determinants of neonatal mortality in Indonesia. This research is an analytic observational study that uses the 2017 Indonesian Demographic and Health Survey (IDHS) data, with a cross-sectional design. This study’s population was the last baby of married women of childbearing age (15-49 years) and was recorded in the 2017 IDHS with a sample of 15,102 babies. The outcome variable in this study was neonatal mortality. The analysis was conducted in stages, namely univariate analysis, bivariate analysis using the chi-square statistical test (X2), and multivariate analysis using logistic regression. The results showed that 85.71% of deaths occurred in the early neonatal period. The most influential determinants of neonatal mortality were male sex (adj OR = 2.91: 95% CI 1.78-4.76), low birth weight (adj OR = 12.08: 95% CI 7.38-18.86) and parity status ≥ 4 (adj OR = 2.11: 95% CI 1.22-3.61). Public health interventions aimed at reducing neonatal mortality should be linked to newborn and maternal characteristics that significantly influence Indonesia's neonatal mortality. Therefore, health services must consider adequate postpartum neonatal care that is fully integrated with medical care. Moreover, further prevention of potential factors that cause low birth weight before conception should be implemented and further control of births would optimize the family planning program. Keywords: gender, low birth weight, parity status, determinant, neonatal mortality, Indonesia

HEALTH BELIEF APPLICATION MODEL: KNOWLEDGE AND PATTERNS OF IRON SOURCE FOOD CONSUMPTION AS A PREVENTIVE EFFORT FOR ANEMIA EVENTS

ABSTRACT Female adolescents are prone to iron deficiency anemia due to regular menstrual cycles and loss of basal, thus requiring sufficient iron intake from food consumed daily. The concept of the Health Belief Model which consists of perceived susceptibility, perceived severity, perceived benefit, perceived barrier, and self efficacy helps to take action on the prevention of anemia. This study aimed to analyze the correlation of knowledge, the Health Belief Model, and consumption patterns with anemic status at Saint Stanislaus High School. This study used a cross-sectional design. The population in this study were all female students in grade X and XI of Saint Stanislaus Senior High School, totaling 84 people. The cluster random sampling technique was used to calculate the total amount of samples, totaling 46 people as the sample of this study. The data collected included respondent characteristics, knowledge rate, construction of Health Belief Model, consumption patterns of iron source foods differentiated into levels of adequacy and frequency of eating, and anemia status. The results of this study showed that 14 of the respondents aged 16 years experienced anemia (30.43%). The correlation of knowledge and the incidence of anemia significantly correlated, with a p-value of 0.044 (p <0.005). Meanwhile, constructs of the Health Belief Model and the level of adequacy of food consumption of iron sources had no correlation with the incidence of anemia (p> 0.005). The frequency of kale consumption as a source of non heme iron had a correlation with the incidence of anemia (p <0.005). This study concluded that there was a correlation with knowledge and the incidence of anemia in Saint Stanislaus High School students. Proper nutrition education based on the concept of the Health Belief Model can be given to students to let them have an understanding, good attitude, and practice prevention measures for anemia well. Keywords: knowledge, Health Belief Model, iron consumption pattern, anemic

PANEL DATA REGRESSION ANALYSIS FOR FACTORS AFFECTING INFANT MORTALITY RATE IN EAST JAVA 2013-2017

ABSTRACTThe escalating infant mortality rate (IMR) in Indonesia has not been able to fulfill the target of Sustainable Development Goals (SDGs) that restrict the limit of IMR to just 12 of 1,000 live births. According to such fact, this research was designed as the application of panel data regression in an IMR case study of East Java from 2013–2017. Regression panel data enable research in describing cross-sectional and time series information. The variety of data availability in this method were capable of producing a high degree of freedom, allowing it to meet the prerequisites and statistical properties. This method was considered the most suitable one for analyzing the rising IMR. This research was classified as non-reactive research. All regencies/cities in East Java served as this study’s population. Data collection included K4 coverage, childbirth assistance, and KN complete coverage. The result of panel data regression showed a significant connection between K4 coverage (0.0230), childbirth assistance (p = 0.0105), and KN complete coverage (0.0205). Adjusted R-Square value was obtained with an amount of 80%, which means that all independent variables were able to explain the dependent one of that value, while the remaining were explained by other factors. This study can provide some suggestions to support IMR in East Java, including handling from the government or related pregnant families to support IMR on an ongoing basis. Keywords: panel data regression, IMR, K4, childbirth assistance, KN complete

THE CORRELATION BETWEEN NUTRITIONAL STATUS AND CALCIUM ADEQUACE LEVEL ON THE INCIDENCE OF PREMENSTRUAL SYNDROME (PMS) IN FEMALE STUDENTS AT THE FACULTY OF PUBLIC HEALTH UNIVERSITAS AIRLANGGA

ABSTRACTPremenstrual syndrome (PMS) is a series of symptoms consisting of physical symptoms, emotional symptoms, and behavioral symptoms experienced by women before menstruation. PMS is caused by several factors, including nutritional status and calcium intake. This study was conducted to analyze the correlation between nutritional status and adequacy levels of calcium with the incidence of PMS in female students at the Faculty of Public Health, Universitas Airlangga. This research used a cross sectional design. The sample consisted of 83 female students at the Faculty of Public Health, Airlangga University class of 2015-2017, chosen through simple random sampling. Data and methods used in the study included measurements of body weight and height to get nutritional status variable, the food recall 2x24 hours form to record adequacy levels of the calcium variable, and the Shortened Premenstrual Assessment Form (SPAF) questionnaire to get incidence of the PMS variable. Data were analyzed using the Chi-square test. The results of statistical tests showed that there was a correlation between nutritional status (p = 0.012) and PMS, but there was no correlation between calcium intake (p = 0.878) and the incidence of PMS. The conclusion of this study is women were overweight were more likely to experience more severe PMS and women who had low calcium did not experience notable patterns in their incidence or severity of PMS. Keywords: nutritional status, calcium, premenstrual syndrome

THE ROLE OF INDIVIDUAL AND COMMUNITY FACTORS ON THE USE OF LONG-TERM CONTRACEPTIVE METHODS (MKJP) ON WOMEN OF REPRODUCTIVE AGE COUPLES IN INDONESIA 2018

ABSTRACTThis research discussed the role of individual and community factors on the use of Long Term Contraceptive Method (MKJP) in women of reproductive age couple by region in Indonesia in 2017. The study design follows the advanced analysis design of RPJMN BKKBN survey data that was cross-sectional design. The sample of research on RPJMN survey was women of reproductive age couple. Data were analyzed by Multilevel Logistic Regression analysis. The results showed that the Proportion of women of reproductive age couples using long-term contraceptive methods (MKJP) in Java Bali (27.2%) more than high than Outside of Java Bali I (22.9%) and Outside of Java Bali II (20.2%). Multilevel analysis results showed that there are variations between provinces of MKJP used in women of reproductive age couple in the area of Indonesia Java Bali and Outside of Java Bali I of 1.4 and 1.3 in the area of Outside of Java Bali II. Based on the results, BKKBN recommended implementing MKJP usage program that takes into account the area aspect and cannot be uniform for all provinces in Indonesia. Keywords: Contraception MKJP, Women WUS

A STUDY TO ASSESS KNOWLEDGE ATTITUDE AND PRACTICES TOWARDS COVID-19 AMONG FRONTLINE WORKERS OF A NORTH INDIAN DISTRICT

ABSTRACTFrontline workers have been fighting hard since the novel coronavirus, also known as COVID-19, was declared a global pandemic by the WHO on March 12th, 2020. This study assessed the level of knowledge of frontline workers, attitudes of frontline workers, and how well the frontline workers of the area adapted to the ongoing epidemic. This study used a cross-sectional research design conducted among 440 frontline workers Palwal district in Haryana. Information regarding knowledge, attitude, practice, and socio-demographic characteristics was obtained using semi-coded and pretested questionnaire. Data were analysed using SPSS version 20. Independent t-test, ANOVA, Pearson’s rank correlation test, and multivariate linear regression were used. A p-value of <0.05 was considered significant. The mean of knowledge, attitude, and practice scores were 79.67 (SD = 1.81), 27.4 (SD = 0.98), and 22.47 (SD = 1.4), respectively. 94.8% of frontline workers had excellent knowledge, 68.6% had excellent attitude, and 57.7% had reasonable practice with significant positive correlation between the three. Knowledge score varied significantly with occupation (p = 0.003). Regression analysis showed that attitude score varied significantly with age, gender, and occupation (p<0.05). Practice score varied significantly with age (p<0.05). The majority of the HCWs had had excellent knowledge and attitude, but moderate practice towards COVID-19 with a significant positive correlation between them. Knowledge appeared to be significantly associated with profession; attitude with age, gender, occupation, source of information; and practice with age alone. Healthcare workers (HCWs) were using less authentic sources for information, which is an important aspect that needs immediate correction as ultimately it affects knowledge and can be reflected in attitude and practice. Keywords: COVID-19, knowledge, attitude, practice, frontline workers

ANALYSIS OF HEALTH SERVICE RETRIBUTION RATES FOR PRIMARY HEALTHCARE CENTERS IN CIMAHI CITY

ABSTRACTRetribution Tariff of Public Health Center (Puskesmas) in Cimahi City is regulated according to Regulation of Retribution Tariff according to Regulation No. 8 Year 2011. Based on the tariff value from 2011 until now still valid with same tariff. Based on the above, it is necessary to evaluate the tariff compared with the increase of the price of health equipment and the operational cost of other puskesmas supporting the puskesmas service, which increases annually.. The purpose of this research is to analyze the tariff of puskesmas. This research method is qualitative descriptive research. Result of research indicate that tariff of puskesmas service there are several alternatives along with the increase of tools, drugs and raw materials, this becomes the base of tariff policy consideration, with consideration of price increase of puskesmas tariff or addition of health budget subsidy in Cimahi City. Conclusion: Based on the unit cost of indirect cost calculation tariff of public health service Rp 26,973, -. Based on the total cost (total cost) of public health services Rp 62,529, - Based on the comparison of other city tariffs from the mayor regulation of 2011-2012 is Rp 2000, - to Rp 4000, -. Based on the proposals from the Disccusion Focus Group (FGD), several public health centers in Cimahi City, on average, were Rp 8,500. Based on the academic proposal, the average inflation rate (Rp 11,000), ability to pay (Rp 9,475, -) cost (Rp 11,507), generic drug cost (Rp 6,556, -), average proposals of puskesmas (Rp 8,500, -), namely: Rp 11,567, - rounded Rp 11.000, -. Keywords: Analysis, Retribution Tariff of Puskesmas

ANALYSIS OF MOTIVATION PHASE OF THE HAPA THEORY (HEALTH ACTION PROCESS APPROACH) AND INTENTION TO EXCLUSIVE BREASTFEEDING IN THE SIDOSERMO PRIMARY HEALTHCARE CENTER, SURABAYA

ABSTRACTExclusive breastfeeding can encourage optimal growth and development, especially during the child’s critical period which spans from when the baby is born until 2 years old. The objective of this study was to analyze the motivational phase of the Health Action Process Approach (HAPA) theory with the intention of exclusive breastfeeding in the work area of the Sidosermo Primary Healthcare Center. This study was a quantitative cross-sectional study with an observational research design. The sampling technique was conducted through the systematic random sampling technique with a total sample of 32 people. The study showed that risk perception has a significant influence on the intention of exclusive breastfeeding with a significance value of 0.014 < α (0.05) and an odds ratio of 0.101. This suggests that respondents who had the right perception about exclusive breastfeeding are 0.101 times more likely to exclusively breasfeed their child than respondents who had a wrong perception. This study also showed that there was a significant influence between self-efficacy towards the intention of exclusive breastfeeding, with a significance value of 0.006 < α (0.05). Respondents who felt that they were able to give exclusive breastfeeding were 17 times more likely to provide exclusive breastfeed than those who felt they were less able. The results of this study indicated that there was an influence between the outcome expectancies with the intention of exclusive breastfeeding with a significance value of 0.004 < α (0.05) and an odds ratio of 28.8. It means that respondents who had high expectations had 28.8 times more intention to provide exclusive breastfeeding than respondents who had low expectations. Keywords: exclusive breastfeeding, intention, Health Action Process Approach (HAPA)

THE RELATIONSHIP BETWEEN EDUCATION, JOB SATISFACTION, AND WORK MOTIVATION TO WORK PRODUCTIVITY (INVESTIGATION ON WORKERS IN THE WELDING SECTION OF RACK PRODUCTION AT UD. KING RACK, SURABAYA, INDONESIA)

ABSTRACTUD. King Rack Surabaya is a rack production home industry. The production process includes welding of the rack structure. This study aims to analyze the relationship between education, job satisfaction, and work motivation to the work productivity of workers in the welding section of rack production at UD. King Rack, Surabaya, Indonesia. This is an observational study with a cross-sectional design. The study sample used a total population of 12 workers. Data were taken in the form of primary data tested with the Spearman correlation test. The results of the analysis show that the majority of respondents graduated from elementary school and the majority of respondents' job satisfaction was high. However, majority of respondents' work motivation was moderate and the majority of respondents' work productivity was low. The results of the Spearman correlation analysis indicate a relationship between education and work productivity (correlation coefficient = 0.475) as well as work motivation and work productivity (coefficient correlation = 1.000). There was no relationship between job satisfaction and work productivity. To increase work productivity, daily standards for the number of racks to be produced by workers need to be set. Besides that, it is important to give praise and appreciation to the workers in order for them to produce racks that are above the work standard. Keywords: education, job satisfaction, work motivation, work productivity

SMOKE FREE AREA (SFA) DISTRICT REGULATION SUPPORT FOR ESTABLISHMENT OF A CHILD FRIENDLY SCHOOL (CFS) IN KULON PROGO DISTRICT

ABSTRACTFollowing the Child-Friendly School (CFS) Guidelines made by the Deputy for Child Development, Ministry of Women Empowerment and Child Protection (2015), one of the components that must be fulfilled is a commitment to make schools a Smoke-Free Area (SFA). Kulon Progo has District Regulation No. 5 of 2014 concerning SFA, thus it can be used as a commitment by a school guide, making it an SFA. The results of interviews with the District Social Service for Women's Empowerment and Child Protection Office stated that CFS currently remains at the initiation stage. Efforts should be made to create comfortable learning conditions for children with the support of the SFA District Regulation in the formation of CFS in Kulon Progo Regency. Analysis of the implementation monitoring checklist/compliance with District Regulation No. 5/2014 concerning SFA in 2020 which is carried out by the SFA supervision task force. Descriptive analysis method by looking at trends based on the proportion of the 10 variables used. The results of the data study show that 89.5% have been exposed to the socialization of District Regulations, 52.6% have a supervisory task force, 86.8% have installed SFA signs at the Entrance, 100% have a smoking ban warning installed, 23.7% has a place specifically for smoking, 10.5% found an ashtray in the building, 7.9% found cigarette butts, 2.6% found cigarette advertisements, 5.3% found cigarette sellers, 7.9% smoked people. From the data analysis, it is known that 81.58% have complied with SFA. However, this compliance is not optimal. This is indicated by the high percentage of availability of designated smoking areas in schools and ashtrays, cigarette butts, cigarette advertisements, cigarette sellers, and smoking people found. Schools should have a zero percentage in these variables; thus, they are not fully committed as a condition for the formation of CFS. It is necessary to optimize the application of District Regulations to create a smoke-free school environment as evidenced by not providing smoking places in schools, not allowing cigarette advertisements, smoking outside, and imposing sanctions for non-smoking violators in the school environment. Keywords: Support, Smoke-Free Area (SFA), Child Friendly Schools, Kulon Progo