Penggugusan Provinsi di Indonesia Berdasarkan Kondisi Kesehatan

Untuk melaksanakan penelitian di Indonesia yang dapat mewakili 33 provinsi, sampling bertahap banyak dilakukan, dan tahap awalnya adalah memilih provinsi. Pada penelitian bidang kesehatan, agar provinsi terpilih mewakili kondisi kesehatan penduduk Indonesia, seyogyanya provinsi dikelompokkan berdasarkan variabel terkait kesehatan. Untuk itu, secara statistik dapat dilakukan analisis gugus (cluster analysis) memakai data dari berbagai sumber, dengan 27 variabel mencakup prevalensi beberapa penyakit infeksi dan status gizi, akses ke pelayanan kesehatan, status demografi, indeks pembangunan manusia, dan aspek keuangan. Hasil akhir menunjukkan bahwa ada 4 gugus provinsi di Indonesia, pada masing-masing gugus terdapat sebanyak 4, 8, 7, dan 14 provinsi. Proses penggugusan dengan analisis gugus semacam ini dapat diterapkan dengan memakai data yang diperbaharui dan hasilnya dapat dimanfaatkan sebagai salah satu pertimbangan untuk sampling provinsi di Indonesia.Amultistage sampling procedure is often used in conducting a research that represents all 33 provinces in Indonesia, and the first step for the procedure is the sample selection of provinces. In the area of health research, it is recommended that the province selection is based on the stratification of provinces using health related variables. Cluster analysis is a statistical technique possibly employed utilizing data from many sources. In this particular application, it involves 27 important health variables which reflect important communicable diseases and nutritional status, access to health services, demographic situation, human development index, and financial factor. This cluster analysis produces four clusters of province, with each of them comprising of 4, 8, 7, and 14 provinces. This statistical clustering technique of provinces can be implemented and considered in the sampling process of provinces in Indonesia using the updated data

Hubungan Pantangan Makanan, Personal Hygiene dan Pola Aktivitas dengan Penyembuhan Luka Perineum pada Ibu Nifas di Desa Bantargebang Tahun 2021

Latar Belakang: Robekan perineum terjadi pada hampir semua persalinan pertama dan tidak jarang juga pada persalinan berikutnya. Penelitian ini dilakukan karena Desa Bantargebang yang memiliki ibu bersalin dengan angka kejadian ruptur perineum paling tinggi yaitu sebanyak 21 orang, dimana di Desa Bantargebang sendiri masih terdapat kurangnya pengetahuan terhadap kebersihan individual pasca melahirkan seperti personal hygiene, masih percaya mitos dengan pantangan jenis makanan, serta pola istirahat yang kurang setelah melahirkan. Tujuan penelitian ini untuk mengetahui hubungan pantangan makanan, personal hygiene dan pola aktivitas dengan penyembuhan luka perineum pada ibu nifas di Desa Bantargebang tahun 2021. Tujuan: Untuk mengetahui hubungan Pantangan Makanan, Personal Hygiene dan Pola Aktivitas dengan Penyembuhan Luka Perineum  pada Ibu  Nifas Di Desa Bantargebang  tahun 2021 Metode: Penelitian ini termasuk penelitian kuantitatif analitik dengan pendekatan cross-sectional, sampel dalam penelitian ini diambil menggunakan total sampling yaitu sebanyak 50 orang. Data di olah dengan menggunakan SPSS 25. Teknik pengumpulan data dalam penelitian ini menggunakan kuesiner. Teknik Analisa data dalam penelitian ini menggunakan analisa data univariat dan analisa data bivariat dengan dilakukan uji statistik Kai-Kuadrat atau Chi-Squeare Hasil: Hasil uji statistik Chi-square variabel pantangan makanan (P-value = 0,000), personal hygiene (P-value = 0,038), dan pola aktivitas (P-value = 0,000). Kesimpulan: Terdapat hubungan yang bermakna antara pantangan makanan, personal hygiene dan pola aktivitas dengan penyembuhan luka perineum pada ibu nifas di Desa Bantargebang tahun 2021.</jats:p

Improving a long-acting reversible contraception usage by understanding client perspectives

BACKGROUND Despite the limited use of long-acting reversible contraception (LARC) in Indonesia, they have proven to be cost-effective in family planning programs. This study was aimed to identify the elements of ideas and views that people hold and their association with the use of LARC (intrauterine devices and implants) as a means of improving its utilization in Nusa Tenggara Barat (NTB) Province, Indonesia.&#x0D; METHODS Data were derived from the Improving Contraceptive Mix Methods survey of 6,384 respondents in Bima District, Central Lombok, and North Lombok, NTB Province, in 2015. Confirmatory factor analysis was used to identify suitable elements of 19 variables and generate three ideation elements on attitude, knowledge, and interpersonal communication. Subsequently, the association of three ideation elements with LARC use in NTB was examined.&#x0D; RESULTS Multivariate analysis revealed that LARC use was higher among women with a positive attitude toward LARC and high frequency of interpersonal communication. Women with positive attitudes had 7 times greater odds of using LARC than women with negative attitudes (adjusted odds ratio [aOR] = 7.18; 95% confidence interval [CI] = 6.09–8.55). Women with a high frequency of interpersonal communication were 2.4 times more likely to use LARC than women with low communication frequency (aOR = 2.40; 95% CI = 1.94–2.99).&#x0D; CONCLUSIONS To increase the use of LARC in NTB, family planning programs should not only focus on improving women’s knowledge but also prioritizing the promotion of positive attitudes toward LARC and facilitating interpersonal communication.</jats:p

Improving Communication Messages by Using Perceptual Mapping: Family Planning Survey in East Java and West Nusa Tenggara, Indonesia

Objectives: Contraceptive methods vary in effectiveness, actions required of users, and side effects. This article aims to analyze the perceptions about contraceptive methods among family planning clients of the East Java and West Nusa Tenggara (NTB) provinces in Indonesia. Methods: The data were obtained from the operational research of the Improving Contraceptive Method Mix Project in Indonesia, conducted in 2015–2016 in six districts in East Java and West Nusa Tenggara. The total sample size was 12,190 women aged 15–49 years. The perceptual mapping method uses cross-sectional surveys that require the respondent to rate the level to which they associate specific elements with each other, based on similarities and differences of perceived association. The correlation matrices for six contraceptive methods and five attributes were subjected to a multidimensional scaling analysis. Results: The results showed injectable to be the most preferred method, which was positioned closest to the attributes ‘easy to use’ and ‘easy to get’, followed by pills. Implants ranked higher than other long-acting and permanent method. Conclusion: Injectables and pills were the most preferred because people believe that they were ‘easy to use’ and ‘easy to get’. The least preferred methods were tubectomy and vasectomy because the respondents thought those were not close to any attributes at all. To increase the demand for the long-acting and permanent method choice in the provinces of East Java and West Nusa Tenggara, the attributes ‘easy to use’ and ‘easy to get’ should be emphasized in the long-acting and permanent method Information Education and Communication messages. </jats:sec

Barriers to exclusive breast-feeding in Indonesian hospitals: a qualitative study of early infant feeding practices

ObjectiveAlthough initiating breast-feeding is common in Indonesia, rates of exclusive breast-feeding are low. Our objective was to identify early barriers to exclusive breast-feeding in Indonesian hospitals.DesignQualitative. Semi-structured interviews were conducted in April-June 2015. The data were analysed using thematic analysis.SettingIndonesian provinces of Jakarta, Banten and West Java.SubjectsFifty-four participants including public health officials, hospital administrators, health-care professionals and parents.ResultsFive themes were identified as contributing to low rates of early exclusive breast-feeding in Indonesian hospitals: (i) quality and quantity of breast-feeding education; (ii) marketing and influence of infant formula manufacturers; (iii) hospital infrastructure; (iv) policy, legislation and protocols; and (v) perceived need for infant formula supplementation. Participants noted that providers and mothers receive inadequate or incorrect education regarding breast-feeding; manufacturers promote infant formula use both inside and outside hospitals; constraints in physical space and hospital design interfere with early breast-feeding; legislation and protocols designed to promote breast-feeding are inconsistently enforced and implemented; and providers and mothers often believe infant formula is necessary to promote infant health. All participants identified numerous barriers to early exclusive breast-feeding that related to more than one identified theme.ConclusionsOur study identified important barriers to early exclusive breast-feeding in Indonesian hospitals, finding that participants consistently reported multifaceted barriers to early exclusive breast-feeding. Future research should examine whether system-level interventions such the Baby-Friendly Hospital Initiative might improve rates of exclusive breast-feeding by improving breast-feeding education, reducing manufacturer influence, modifying existing infrastructure and providing tools needed for protocols and counselling

Poor Knowledge and Nonuse of Long-Acting/Permanent Methods of Contraceptives in Six Districts in Indonesia

This analysis aimed at examining the association between the level of knowledge about long-acting/permanent methods of contraceptives (LAPM) and nonuse of LAPM among currently married, nonpregnant, and fecund women aged 15 to 49 years intending to limit childbearing. Data were derived from a cross-sectional study in Tuban, Kediri, and Lumajang District (East Java Province) and Lombok Barat, Lombok Timur, and Sumbawa District (Nusa Tenggara Barat Province) in June 2012. Information was obtained from 4323 respondents. Using multivariate logistic regression, we found that women with moderate levels of LAPM knowledge were less likely to use LAPM than women with high levels of knowledge (adjusted odds ratio [aOR] = 2.01, 95% CI = 1.51-2.68). Women with low level of LAPM knowledge were less likely to use LAPM than women with high levels of knowledge (aOR = 4.25, 95% CI = 3.37-5.36). Efforts to strengthen counseling services and increased provider knowledge and counselling skills are important to improve women’s knowledge about and use of LAPM. </jats:p